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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.
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.
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