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Extensive subcutaneous emphysema treated with subcutaneous angiocatheters.

Lena Carleton¹, Wesley Eilbert¹, Randall Grant¹

¹Department of Emergency Medicine College of Medicine University of Illinois Chicago USA.

Journal of the American College of Emergency Physicians Open

|October 16, 2023

Summary

Subcutaneous emphysema (SCE) can cause serious complications. This case shows that placing angiocatheters under the skin can successfully relieve extensive SCE.

Keywords:

extensive subcutaneous emphysema massive subcutaneous emphysema subcutaneous emphysema

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Area of Science:

Emergency Medicine
Thoracic Surgery
Critical Care Medicine

Background:

Subcutaneous emphysema (SCE) often arises from chest trauma, surgery, or airway procedures.
While typically self-limiting, extensive SCE can compromise respiratory and cardiovascular function.
Optimal management for severe SCE remains undefined.

Observation:

A patient presented with extensive subcutaneous emphysema.
Conservative management was considered, but emergent intervention was necessary.
The patient developed respiratory distress due to the extensive emphysema.

Findings:

The case details the successful management of extensive SCE.
Angiocatheters were placed subcutaneously for decompression.
This intervention effectively resolved the patient's condition.

Implications:

Subcutaneous angiocatheters offer a minimally invasive option for extensive SCE.
This technique may be a viable alternative to more invasive procedures.
Further research is warranted to establish this approach in clinical practice.