Video Experimental Relacionado
Updated: Jan 7, 2026
05:39
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
2.2K
Enfisema subcutáneo extenso tras resección en cuña de pulmón
Khuloud H Alnuaimi1,2, Reem F Almerri1, Mouza S Alneyadi1,2
1Emergency Medicine, Sheikh Tahnoon Bin Mohammed Medical City (STMC), Al-Ain, ARE.
Cureus
|December 30, 2025
Resumen
El enfisema subcutáneo grave (ESC) después de una cirugía de pulmón puede poner en peligro la vida. El drenaje por succión continua a través de drenajes subcutáneos ofrece un tratamiento definitivo para casos extensos, mejorando los resultados del paciente.
Área de la Ciencia:
- Cirugía Torácica
- Medicina Pulmonar
- Complicaciones Quirúrgicas
Sus antecedentes:
- El enfisema subcutáneo (ESC) es una complicación poco común después de la cirugía torácica.
- Aunque a menudo es autolimitado, el ESC grave puede comprometer rápidamente las vías respiratorias, lo que requiere una intervención rápida.
Objetivo del estudio:
- Informar sobre un caso de ESC postoperatorio extenso en un paciente con enfermedad pulmonar intersticial.
- Destacar los desafíos en el manejo del ESC grave y la eficacia del drenaje subcutáneo.
Principales métodos:
- Un hombre de 71 años con enfermedad pulmonar intersticial se sometió a una resección en cuña toracoscópica.
- Desarrolló ESC extenso con compromiso de las vías respiratorias, tratado inicialmente con incisiones de "agujero de cerradura".
- Finalmente se manejó con un drenaje subcutáneo de 24 Fr conectado a succión continua.
Principales resultados:
- El manejo conservador inicial con incisiones de "agujero de cerradura" fracasó, lo que provocó un deterioro de las vías respiratorias y la intubación de emergencia.
- El drenaje subcutáneo con succión continua resultó en una mejora definitiva.
- El paciente fue destetado con éxito del soporte ventilatorio y dado de alta.
Conclusiones:
- El reconocimiento temprano y el manejo agresivo son cruciales para el ESC postoperatorio grave.
- El drenaje subcutáneo con succión continua es un tratamiento potencialmente eficaz para casos refractarios.
- Este enfoque puede prevenir la necesidad de intervenciones más invasivas en el ESC grave.
Videos de Conceptos Relacionados
01:27Pneumothorax-II
821
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
821
01:26Pneumothorax-I
1.1K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.1K
01:26Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
486
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
486
01:26Flail Chest-II
484
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
484
01:29Pulmonary Embolism I: Introduction
457
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
457