E-ISSN 2617-9784 | ISSN 2617-1791
 

Case Report 


A case report of massive surgical emphysema after endotracheal intubation

Abdulhakam Ahmed.

Abstract
In the management of a patient with respiratory compromise in the emergency department, airway patency and ventilatory support are of high importance. We describe a case of a 34 years old female patient who presented with severe lower airway obstruction secondary to exacerbation of bronchial asthma. She had severe dyspnea, confusion and ABG showed type 2 respiratory failure for which an urgent endotracheal intubation was performed. Later, the patient developed significant subcutaneous emphysema, and was diagnosed with bilateral pneumothoraxes, pneumomediastinum, pneumopericardium, and surgical emphysema. This was treated emergently with supplemental oxygen and bilateral chest drains. A CT scan demonstrated a tracheal laceration, which was managed conservatively in the critical care unit. The patient had a tracheostomy on day 5 to treat an ongoing air leak and later made a full recovery.

Key words: Emphysema, Respiratory failure, Conservative Treatment


 
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How to Cite this Article
Pubmed Style

Abdulhakam Ahmed. A case report of massive surgical emphysema after endotracheal intubation. SAJEM. 2021; 4(1): 42-45. doi:10.5455/sajem.040106


Web Style

Abdulhakam Ahmed. A case report of massive surgical emphysema after endotracheal intubation. http://www.sajem.org/?mno=47065 [Access: December 05, 2021]. doi:10.5455/sajem.040106


AMA (American Medical Association) Style

Abdulhakam Ahmed. A case report of massive surgical emphysema after endotracheal intubation. SAJEM. 2021; 4(1): 42-45. doi:10.5455/sajem.040106



Vancouver/ICMJE Style

Abdulhakam Ahmed. A case report of massive surgical emphysema after endotracheal intubation. SAJEM. (2021), [cited December 05, 2021]; 4(1): 42-45. doi:10.5455/sajem.040106



Harvard Style

Abdulhakam Ahmed (2021) A case report of massive surgical emphysema after endotracheal intubation. SAJEM, 4 (1), 42-45. doi:10.5455/sajem.040106



Turabian Style

Abdulhakam Ahmed. 2021. A case report of massive surgical emphysema after endotracheal intubation. South Asian Journal of Emergency Medicine, 4 (1), 42-45. doi:10.5455/sajem.040106



Chicago Style

Abdulhakam Ahmed. "A case report of massive surgical emphysema after endotracheal intubation." South Asian Journal of Emergency Medicine 4 (2021), 42-45. doi:10.5455/sajem.040106



MLA (The Modern Language Association) Style

Abdulhakam Ahmed. "A case report of massive surgical emphysema after endotracheal intubation." South Asian Journal of Emergency Medicine 4.1 (2021), 42-45. Print. doi:10.5455/sajem.040106



APA (American Psychological Association) Style

Abdulhakam Ahmed (2021) A case report of massive surgical emphysema after endotracheal intubation. South Asian Journal of Emergency Medicine, 4 (1), 42-45. doi:10.5455/sajem.040106