| The Treatment of Massive Spontaneous Subcutaneous Emphysema by Multiple Intravenous Catheter and Continuous Suction Drainage. |
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Sun Young Kim, Kwang Seok Uom, Young Seok Lee, Kyung Rim Huh, Chin Woo Kwon, Seung Hun Jang, Dong Gyu Kim, Ki Suck Jung |
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Department of Internal Medicine, Hallym University Colleage of Medicine, Anyang, Korea. pulmoks@hallym.ac.kr |
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| Abstract |
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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. |
| Key Words:
Massive spontaneous subcutaneous emphysema, Catheter drainage, Continuous suction |
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