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Subcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia.
Ann Acad Med Singap. 2000 Mar; 29(2):256-8.AA

Abstract

INTRODUCTION

We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation.

CLINICAL PICTURE

A 51-year-old man had an uneventful anaesthesia lasting about 6.5 hours. Intubation was performed by a very junior medical officer and was considered difficult. He developed sore throat, chest pain, numbness of both hands and palpable crepitus around the neck postoperatively. Chest X-ray revealed diffuse subcutaneous emphysema, pneumomediastinum and possible pneumopericardium.

TREATMENT

He was treated conservatively with bed rest, oxygen, analgesia, antibiotic prophylaxis, reassurance and close monitoring.

OUTCOME

The patient made an uneventful recovery.

CONCLUSIONS

We discussed the possible causes.

Authors+Show Affiliations

Department of Anaesthesia, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10895351

Citation

Chiu, C L., and G S. Ong. "Subcutaneous Emphysema and Pneumomediastinum After Endotracheal Anaesthesia." Annals of the Academy of Medicine, Singapore, vol. 29, no. 2, 2000, pp. 256-8.
Chiu CL, Ong GS. Subcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia. Ann Acad Med Singap. 2000;29(2):256-8.
Chiu, C. L., & Ong, G. S. (2000). Subcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia. Annals of the Academy of Medicine, Singapore, 29(2), 256-8.
Chiu CL, Ong GS. Subcutaneous Emphysema and Pneumomediastinum After Endotracheal Anaesthesia. Ann Acad Med Singap. 2000;29(2):256-8. PubMed PMID: 10895351.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia. AU - Chiu,C L, AU - Ong,G S, PY - 2000/7/15/pubmed PY - 2001/2/28/medline PY - 2000/7/15/entrez SP - 256 EP - 8 JF - Annals of the Academy of Medicine, Singapore JO - Ann Acad Med Singap VL - 29 IS - 2 N2 - INTRODUCTION: We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation. CLINICAL PICTURE: A 51-year-old man had an uneventful anaesthesia lasting about 6.5 hours. Intubation was performed by a very junior medical officer and was considered difficult. He developed sore throat, chest pain, numbness of both hands and palpable crepitus around the neck postoperatively. Chest X-ray revealed diffuse subcutaneous emphysema, pneumomediastinum and possible pneumopericardium. TREATMENT: He was treated conservatively with bed rest, oxygen, analgesia, antibiotic prophylaxis, reassurance and close monitoring. OUTCOME: The patient made an uneventful recovery. CONCLUSIONS: We discussed the possible causes. SN - 0304-4602 UR - https://www.unboundmedicine.com/medline/citation/10895351/Subcutaneous_emphysema_and_pneumomediastinum_after_endotracheal_anaesthesia_ L2 - http://www.diseaseinfosearch.org/result/9751 DB - PRIME DP - Unbound Medicine ER -