Subcutaneous emphysema surgery: Difference between revisions
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cite book |author=Grathwohl KW, Miller S |chapter= Anesthetic implications of minimally invasive urological surgery |editor= Bonnett R, Moore RG, Bishoff JT, Loenig S, Docimo SG |title=Minimally Invasive Urological Surgery |publisher=Taylor & Francis Group |location=London |year=2004 |pages= 105 |isbn=1-84184-170-6 |oclc= |doi= |accessdate=2008-05-11 |url= http://books.google.com/books?id=nU5WGRBeBBQC&pg=PA105&dq=subcutaneous+emphysema&client=firefox-a&sig=wajVVMwrwxWexK7G2DZYshGDxOU | cite book |author=Grathwohl KW, Miller S |chapter= Anesthetic implications of minimally invasive urological surgery |editor= Bonnett R, Moore RG, Bishoff JT, Loenig S, Docimo SG |title=Minimally Invasive Urological Surgery |publisher=Taylor & Francis Group |location=London |year=2004 |pages= 105 |isbn=1-84184-170-6 |oclc= |doi= |accessdate=2008-05-11 |url= http://books.google.com/books?id=nU5WGRBeBBQC&pg=PA105&dq=subcutaneous+emphysema&client=firefox-a&sig=wajVVMwrwxWexK7G2DZYshGDxOU | ||
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</ref> When subcutaneous emphysema occurs due to pneumothorax, a chest tube is frequently used to control the latter; this eliminates the source of the air entering the subcutaneous space.<ref name="Lefor02"/> If the volume of subcutaneous air is increasing, it may be that the chest tube is not removing air rapidly enough, so it may be replaced with a larger one.<ref name="Long95"/> Suction may also be applied to the tube to remove air faster.<ref name="Long95"/> The progression of the condition can be monitored by marking the boundaries with a special pencil for marking on skin.<ref name="Carpenito04"/> | </ref> When subcutaneous emphysema occurs due to pneumothorax, a chest tube is frequently used to control the latter; this eliminates the source of the air entering the subcutaneous space.<ref name="Lefor02"> | ||
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cite book |author=Lefor, Alan T. |title=Critical Care on Call |publisher=Lange Medical Books/McGraw-Hill, Medical Publishing Division |location=New York |year=2002 |pages= |isbn=0-07-137345-4 |oclc= |doi= |accessdate=2008-05-09| pages=238–240 | url= http://books.google.com/books?id=6pvRaVggws8C&pg=PA238&dq=subcutaneous+emphysema&sig=nvI2yrrJ2DklEEyepNTk7euYVq4 | |||
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</ref> If the volume of subcutaneous air is increasing, it may be that the chest tube is not removing air rapidly enough, so it may be replaced with a larger one.<ref name="Long95"/> Suction may also be applied to the tube to remove air faster.<ref name="Long95"/> The progression of the condition can be monitored by marking the boundaries with a special pencil for marking on skin.<ref name="Carpenito04"/> | |||
Since treatment usually involves dealing with the underlying condition, cases of spontaneous subcutaneous emphysema may require nothing more than bed rest, medication to control pain, and perhaps supplemental oxygen.<ref name="Parker90"/> Breathing oxygen may help the body to absorb the subcutaneous air more quickly.<ref name="NOAA91"> | Since treatment usually involves dealing with the underlying condition, cases of spontaneous subcutaneous emphysema may require nothing more than bed rest, medication to control pain, and perhaps supplemental oxygen.<ref name="Parker90"/> Breathing oxygen may help the body to absorb the subcutaneous air more quickly.<ref name="NOAA91"> | ||
Revision as of 21:10, 25 September 2012
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Risk calculators and risk factors for Subcutaneous emphysema surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
Subcutaneous emphysema is usually benign.[1] Most of the time, SCE itself does not need treatment (though the conditions from which it results may); however, if the amount of air is large, it can interfere with breathing and be uncomfortable.[2] Severe cases can compress the trachea and do require treatment.[3]
In severe cases of subcutaneous emphysema, catheters can be placed in the subcutaneous tissue to release the air.[1] Small cuts, or "blow holes", may be made in the skin to release the gas.[4] When subcutaneous emphysema occurs due to pneumothorax, a chest tube is frequently used to control the latter; this eliminates the source of the air entering the subcutaneous space.[5] If the volume of subcutaneous air is increasing, it may be that the chest tube is not removing air rapidly enough, so it may be replaced with a larger one.[6] Suction may also be applied to the tube to remove air faster.[6] The progression of the condition can be monitored by marking the boundaries with a special pencil for marking on skin.[3]
Since treatment usually involves dealing with the underlying condition, cases of spontaneous subcutaneous emphysema may require nothing more than bed rest, medication to control pain, and perhaps supplemental oxygen.[7] Breathing oxygen may help the body to absorb the subcutaneous air more quickly.[8] Reassurance and observation are also part of treatment.[9]
References
- ↑ 1.0 1.1 Papiris SA, Roussos C (2004). "Pleural disease in the intensive care unit". In Bouros D. Pleural Disease (Lung Biology in Health and Disease). New York, N.Y: Marcel Dekker. pp. 771–777. ISBN 0-8247-4027-0. Retrieved 2008-05-16.
- ↑
Abu-Omar Y, Catarino PA (2002). "Progressive subcutaneous emphysema and respiratory arrest". J R Soc Med. 95 (2): 90–91. PMID 11823553. Unknown parameter
|month=ignored (help) - ↑ 3.0 3.1 Carpenito-Moyet LJ (2004). Nursing Care Plans and Documentation: Nursing Diagnoses and Collaborative Problems. Hagerstown, MD: Lippincott Williams & Wilkins. p. 889. ISBN 0-7817-3906-3. Retrieved 2008-05-12.
- ↑ Grathwohl KW, Miller S (2004). "Anesthetic implications of minimally invasive urological surgery". In Bonnett R, Moore RG, Bishoff JT, Loenig S, Docimo SG. Minimally Invasive Urological Surgery. London: Taylor & Francis Group. p. 105. ISBN 1-84184-170-6. Retrieved 2008-05-11.
- ↑ Lefor, Alan T. (2002). Critical Care on Call. New York: Lange Medical Books/McGraw-Hill, Medical Publishing Division. pp. 238–240. ISBN 0-07-137345-4. Retrieved 2008-05-09.
- ↑ 6.0 6.1
- ↑
- ↑ NOAA (1991). NOAA Diving Manual. US Dept. of Commerce – National Oceanic and Atmospheric Administration. p. 3.15. ISBN 0160359392. Retrieved 2008-05-09.
- ↑