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Case Report
Online Published: 03 Aug 2021
 


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. https://www.sajem.org/?mno=47065 [Access: September 13, 2024]. 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 September 13, 2024]; 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


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South Asian Journal of Emergency Medicine (SAJEM) is an international, peer-reviewed journal which is published bi-annually. Emergency Medicine is a new ... Read more.



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