Subcutaneous emphysema surgery
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Subcutaneous emphysema Microchapters |
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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 Long BC Cassmeyer V, Phipps WJ (1995). Adult Nursing: Nursing Process Approach. St. Louis: Mosby. p. 328. ISBN 0-7234-2004-1. Retrieved 2008-05-12.
- ↑
Parker GS, Mosborg DA, Foley RW, Stiernberg CM (1990). "Spontaneous cervical and mediastinal emphysema". Laryngoscope. 100 (9): 938–940. PMID 2395401. Unknown parameter
|month=ignored (help) - ↑ NOAA (1991). NOAA Diving Manual. US Dept. of Commerce – National Oceanic and Atmospheric Administration. p. 3.15. ISBN 0160359392. Retrieved 2008-05-09.
- ↑ Jain P, Vanner T (2008). "Subcutaneous emphysema with pneumomediastinum during the second stage of labour: A rare intrapartum complication". The Internet Journal of Gynecology and Obstetrics. 9 (1).