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Subcutaneous Emphysema associated with chest tube drainage Respirology (2001) 6, 87~89

Subcutaneous Emphysema associated with chest tube drainage Respirology (2001) 6, 87~89. By 4C1 Ri 賴貞吟 / VS 葉育彰. 75 y/o male, RLL bullae s/p RLL wedge resection. Pre-op 12/17. 0117. Remove another 0119. Op on 1230. Post-op 0102. Remove 1 tube0118. 0120. Subcutaneous Emphysema.

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Subcutaneous Emphysema associated with chest tube drainage Respirology (2001) 6, 87~89

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  1. Subcutaneous Emphysema associated with chest tube drainageRespirology (2001) 6, 87~89 By 4C1 Ri 賴貞吟/ VS 葉育彰

  2. 75 y/o male, RLL bullae s/p RLL wedge resection Pre-op 12/17 0117 Remove another 0119 Op on 1230 Post-op 0102 Remove 1 tube0118 0120

  3. Subcutaneous Emphysema • Complicate a pneumomediastinum, pneumothorax or other perforated hollow viscus • Complication of chest tube drainage • Sequelae usually minor and self limiting, but potentially life threatening complications such as upper airway obstruction and acute respiratory failure had been reported • Interfere with other diagnostic modalities such as ultrasound, radiograph…

  4. Retrospective Study Result 167 patients in a tertiary referral hospital, between 1996~1997 20% of all cases

  5. Discussion • Important factors in the association of chest tube drainage and subcutaneous emphysema: Inadequate placement, migration and blockage of chest tubes • Progressive or persistent subcutaneous emphysema also may develop if the gas supply of pneumothorax exceeds the chest tube evacuation capacity

  6. Thanks for your attention!!

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