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

Kim, Sun Young (Department of Internal Medicine, Hallym University Colleage of Medicine)
Uom, Kwang Seok (Department of Internal Medicine, Hallym University Colleage of Medicine)
Lee, Young Seok (Department of Internal Medicine, Hallym University Colleage of Medicine)
Huh, Kyung Rim (Department of Internal Medicine, Hallym University Colleage of Medicine)
Kwon, Chin Woo (Department of Internal Medicine, Hallym University Colleage of Medicine)
Jang, Seung Hun (Department of Internal Medicine, Hallym University Colleage of Medicine)
Kim, Dong Gyu (Department of Internal Medicine, Hallym University Colleage of Medicine)
Jung, Ki Suck (Department of Internal Medicine, Hallym University Colleage of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.61, no.2, 2006 , pp. 178-183 More about this Journal
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.
Keywords
Massive spontaneous subcutaneous emphysema; Catheter drainage; Continuous suction;
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