Subcutaneous Emphysema associated with chest tube drainage                                                        Respir

Subcutaneous Emphysema associated with chest tube drainage Respir PowerPoint PPT Presentation


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75 y/o male, RLL bullae s/p RLL wedge resection. Pre-op 12/17. Post-op 0102. Op on 1230. 0117. Remove 1 tube0118. Remove another 0119. 0120. Subcutaneous Emphysema. Complicate a pneumomediastinum, pneumothorax or other perforated hollow viscusComplication of chest tube drainageSequelae usually minor and self limiting, but potentially life threatening complications such as upper airway obstruction and acute respiratory failure had been reportedInterfere with other diagnostic modalities such as ultrasound, radiograph?.

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Subcutaneous Emphysema associated with chest tube drainage Respir

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1. Subcutaneous Emphysema associated with chest tube drainage Respirology (2001) 6, 87~89 By 4C1 Ri ???/ VS ???

2. 75 y/o male, RLL bullae s/p RLL wedge resection

3. Subcutaneous Emphysema Complicate a pneumomediastinum, pneumothorax or other perforated hollow viscus Complication of chest tube drainage Sequelae usually minor and self limiting, but potentially life threatening complications such as upper airway obstruction and acute respiratory failure had been reported Interfere with other diagnostic modalities such as ultrasound, radiograph…

4. Retrospective Study Result 167 patients in a tertiary referral hospital, between 1996~1997

5. Discussion Important factors in the association of chest tube drainage and subcutaneous emphysema: Inadequate placement, migration and blockage of chest tubes Progressive or persistent subcutaneous emphysema also may develop if the gas supply of pneumothorax exceeds the chest tube evacuation capacity

6. Thanks for your attention!!

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