scholarly journals The treatment of tracheal rupture and generalized subcutaneous emphysema in a dog

2021 ◽  
Author(s):  
Fatma GÖRÜCÜ ◽  
İbrahim DEMİRKAN
Keyword(s):  
Subcutaneous Emphysema ◽  
Tracheal Rupture

scholarly journals New acute respiratory management in tracheal rupture caused by chest trauma

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Cheng Shen ◽  
Lin Ma
Keyword(s):  
Mechanical Ventilation ◽  
Oxygen Saturation ◽  
Emergency Room ◽  
Subcutaneous Emphysema ◽  
Emergency Surgery ◽  
Chest Trauma ◽  
Tracheal Rupture ◽  
Respiratory Management ◽  
Respiratory State ◽  
Ventilation Method

Abstract We report a case who is a 33-year-old man admitted to our Emergency room for chest trauma caused by the factory’s mechanical arm. Despite the endotracheal tube, the patient’s respiratory state was poor and the oxygen saturation did not improve and the subcutaneous emphysema progressed. To improve distressed breathing, we first proposed the concept “mechanical ventilation with dual ventilator” to maintain oxygen saturation of the patient. This is, to our knowledge, the first report of using a special mechanical ventilation method in emergency surgery.

MASSIVE SUBCUTANEOUS EMPHYSEMA AFTER BLUNT TRACHEAL RUPTURE

2001 ◽  
Vol 50 (4) ◽  
pp. 761 ◽  
Author(s):  
Santiago A. Endara ◽  
Jason O. Boldery ◽  
Benjamin P. Bidstrup
Keyword(s):  
Subcutaneous Emphysema ◽  
Tracheal Rupture

Upper Airway Injury in Dogs Secondary to Trauma: 10 Dogs (2000–2011)

2016 ◽  
Vol 52 (5) ◽  
pp. 291-296 ◽  
Author(s):  
Eleni Basdani ◽  
Lysimachos G. Papazoglou ◽  
Michail N. Patsikas ◽  
Georgios M. Kazakos ◽  
Katerina K. Adamama-Moraitou ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Aspiration Pneumonia ◽  
Tracheal Stenosis ◽  
Subcutaneous Emphysema ◽  
Upper Airway ◽  
Tracheal Resection ◽  
Air Leakage ◽  
Tracheal Rupture ◽  
Airway Injury ◽  
End To End

ABSTRACT Ten dogs that presented with trauma-induced upper airway rupture or stenosis were reviewed. Tracheal rupture was seen in seven dogs, tracheal stenosis in one dog, and laryngeal rupture in two dogs. Clinical abnormalities included respiratory distress in five dogs, subcutaneous emphysema in eight, air leakage through the cervical wound in seven, stridor in three dogs, pneumomediastinum in four and pneumothorax in one dog. Reconstruction with simple interrupted sutures was performed in four dogs, tracheal resection and end-to-end anastomosis in five dogs, and one dog was euthanized intraoperatively. Complications were seen in three dogs including aspiration pneumonia in one and vocalization alterations in two dogs.

Tracheal Rupture With Extensive Subcutaneous Emphysema Involving the Face

CHEST Journal ◽  
2017 ◽  
Vol 152 (4) ◽  
pp. A238
Author(s):  
Radu Postelnicu ◽  
Gaetane Michaud
Keyword(s):  
Subcutaneous Emphysema ◽  
Tracheal Rupture ◽  
The Face

scholarly journals Generalized Subcutaneous Emphysema Secondary to Pneumomediastinum in a Newborn kitten

2019 ◽  
Vol 47 ◽  
Author(s):  
Camilla Ingrid Queiroz Fraga ◽  
Francisca Maria Sousa Barbosa ◽  
Maria Duarte Kobayashi ◽  
José Ferreira Da Silva Neto ◽  
Vanessa Martins Favad Milken ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
Clinical Picture ◽  
Clinical Care ◽  
Clinical Signs ◽  
Acute Onset ◽  
Radiographic Examination ◽  
Air Leakage ◽  
Tracheal Rupture ◽  
Radiographic Findings ◽  
Newborn Kitten

Background: Pneumomediastinum is a rare entity characterized by the introduction of air into the mediastinum. Primary or spontaneous pneumomediastinum may occur in the absence of any disease whereas secondary pneumomediastinum may be due to a number of precipitating factors. The clinical picture is severe and the onset is acute. The present report describes the clinical presentation, treatment, and the findings of a forensic investigation of a case of generalized subcutaneous emphysema secundary to pneumomediastinum in a newborn kitten. Case: A newborn kitten was presented to a veterinary climic with a history of generalized air accumulation in the subcutaneous tissue of acute onset which was noted whenever the animal suckled. Clinical care and radiographic examination were performed. Radiographic findings included areas of radiolucency within the subcutis suggestive of generalized subcutaneous emphysema. In the thoracic cavity, there was ventral displacement of the thoracic trachea and increased radiolucency in the cranial mediastinum suggestive of pneumomediastinum. There was loss of definition of the cervical trachea suggestive of tracheal rupture. Based on the radiographic findings, the clinician decided to aspirate the air accumated within the subcutis using a needle and a syringe. However, this emphysema rapidly formed after the subcutaneous air was aspirated. Euthanasia was elected due to the poor prognosis and the animal was submitted for necropsy. Main gross findings included traumatic intercostal laceration adjacent to the lungs under the axilla and tracheal perforation. Tracheal perforation resulted in persistent air leakage from the trachea causing pneumomediastinum which evolved into generalized subcutaneous emphysema causing the animal to inflate as air became trapped within the subcutis imparting a blown up appearance to the cat. Microscopically pulmonary collapse was observed. Symptomatic treatment was instituted and consisted of puncturing the distended skin with needle and syringe. Percutaneous drainage of the subcutaneous air was unsuccessful.Discussion: In the present case, the diagnosis of generalized subcutaneous emphysema due to pneumomediastinum in a newborn kitten was based on the history, clinical signs, radiographic findings, and gross necropsy lesions. However, the histopathological findings were non-specific. The present case is an example of secondary pneumomediastinum. Tracheal perforation resulted in massive air penetration into the mediastinum. Generalized subcutaneous emphysema developed as a complication of the pneumomediastinum. Queens carry their offspring using their mouth. We suggest that the tracheal lesion is a penetrating tracheal trauma and that this injury was inflicted by the mother's canine teeth as she transported the kitten with the animal's neck and chest inside her mouth. There was no history that the kitten was attacked by other animal or of any other type of trauma. Initial conservative treatment consisted of puncturing the skin in order to release subcutaneous air and relieve pain. Oxygen supply was not considered due to practical reasons since such supportive therapy would worsen the clinical picture of the patient. Necropsy findings were of major importance to establish a definitive diagnosis. Gross lesions included tracheal perforation, which caused pneumomediastinum through air leakage into the mediastinum and lead to the subcutaneous emphysema. We conclude that unintentional traumatic injuries in a newborn kitten caused by the queen should be considered as a cause of pneumomediastinum and subcutaneous emphysema. The clinical picture is severe, of acute onset, and exhibits a rapidly progressive course.

scholarly journals Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report

2021 ◽  
Vol 2021 (7) ◽  
Author(s):  
Nika Kuridze ◽  
Kakhaber Etsadashvili ◽  
Eteri Minadze ◽  
Nani Gonjilashvili ◽  
Mikheil Tsverava
Keyword(s):  
Subcutaneous Emphysema ◽  
Acute Decompensated Heart Failure ◽  
Clinical Manifestations ◽  
Well Being ◽  
Decompensated Heart Failure ◽  
Cardiac Resynchronization ◽  
Airway Complication ◽  
Cardiac Device ◽  
Tracheal Rupture ◽  
Satisfactory Condition

ABSTRACT Iatrogenic tracheal rupture is a life-threatening airway complication. It has a very low reported incidence and is more prevalent in women and patients over 50 years of age. The most frequent clinical manifestations of tracheal injury are subcutaneous emphysema and respiratory distress. We report a case of a 65-year-old woman with cardiac resynchronization therapy defibrillator implantation under general anesthesia. Shortly after extubation, dyspnea and subcutaneous emphysema appeared. The X-ray showed pneumomediastinum, pneumopericardium and pneumoperitoneum. The tracheal rupture was confirmed by bronchoscopy. After conservative treatment, the patient's well-being improved, and she was discharged from the hospital in a satisfactory condition.

Two Cases of Pneumothorax and Subcutaneous Emphysema Associated with Removal of Neglected Tracheal Foreign Body

2015 ◽  
Vol 58 (1) ◽  
pp. 44 ◽  
Author(s):  
Ji Won Seo ◽  
Dong Kun Lee ◽  
Jong Chul Hong ◽  
Heon Soo Park
Keyword(s):  
Foreign Body ◽  
Subcutaneous Emphysema

Subcutaneous Emphysema of a Neck and Extensive Phlegmon of a Lower Limb as the First Symptoms of Large Intestine Perforation

2009 ◽  
Vol 81 (8) ◽  
Author(s):  
Aleksandra Wawrzak ◽  
Janusz Korlacki ◽  
Michał Głowacz
Keyword(s):  
Large Intestine ◽  
Subcutaneous Emphysema ◽  
Lower Limb
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