Volume 16, Number 2 (Scientific Journal of Hamadan University of Medical Sciences-Summer 2009)                   Sci J Hamadan Univ Med Sci 2009, 16(2): 54-57 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Asadi Fakhr A, Moazami F, Manouchehrian N. Post Operative Severe Subcutaneous Emphysema. Sci J Hamadan Univ Med Sci . 2009; 16 (2) :54-57
URL: http://sjh.umsha.ac.ir/article-1-324-en.html

, asadi@umsha.ac.ir
Abstract:   (2438 Views)

Introduction: Nowadays establishment of a safe and secure airway for general anesthesia is necessary and establishment of the airway , according to the anatomical and physiological state, may be accompanied with complications such as piriform sinus damage resulting to subcutaneous emphysema. Subcutaneous emphysema and pneumomediastinum are rare complications of tracheal intubation and if not be treated they may be life threatening.

Case Report: A 48-year-old female patient with main complain of tearing due to bilateral lacrimal duct obstruction was scheduled for endoscopic dacryocystorhinostomy surgery. Preopreative routine physical examination, laboratory tests and laryngoscopic view were normal. The patient had not any problem during tracheal intubation and surgery, but 90 minutes after recovery from anesthesia, severe subcutaneous emphysema in the neck occurred followed by coughing.Therefore the patient was shifted to the intensive care unit for complete care and discharged after 13 days.

Conclusion: Candidates for general anesthesia patients without any problem in tracheal intubation regarding to their laryngoscopic view and routine examinations , undergoing invasive techniques such as all intubation stages , nasogastric tube insertion and deep oral suction especially with thick catheter have a high rates of air way injuries and subcutaneous emphysema

Full-Text [PDF 127 kb]   (1063 Downloads)    
Type of Study: Case Report | Subject: Special

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author


© 2015 All Rights Reserved | Scientific Journal of Hamadan University of Medical Sciences

Designed & Developed by : Yektaweb