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The Treatment of Massive Spentaneous Subcutaneous Emphysema by Multiple Intravenous Catheter and Continuous Suction Drainage

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2006, v.61 no.2, pp.178-183








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Abstract

A-61-year-old COPD patient was hospitalized due to dyspnea and was diagnosed with acute exacerbation of COPD. During the hospital stay, the patient's dyspnea was aggravated by massive spontaneous subcutaneous emphysema. Multiple 16 gauge intravenous catheters were inserted at the midclavicular line for drainage. Although subcutaneous catheter drainage was carried out, respiratory failure developed with an increased in massive subcutaneous emphysema. Continuous suction drainage with wall suction was applied resulting in the rapid resolution of the subcutaneous emphysema. We report a case of the that effective management of massive subcutaneous emphysema using multiple 16 gauge intravenous catheters with continuous suction. (Tuberc Respir Dis 2006; 61: 178-183)

keywords
Massive spontaneous subcutaneous emphysema, Catheter drainage, Continuous suction., Massive spontaneous subcutaneous emphysema, Catheter drainage, Continuous suction.

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Tuberculosis & Respiratory Diseases