https://scholars.lib.ntu.edu.tw/handle/123456789/637748
標題: | Cervicofacial subcutaneous emphysema following tonsillectomy: implications for anesthesiologists | 作者: | MING-HUI HUNG Shih, Po-Yuan Yang, Ya-Min Lan, Jheng-Yan SHOU-ZEN FAN Jeng, Chuen-Shin |
關鍵字: | Postoperative complications | Subcutaneous emphysema | Tonsillectomy | 公開日期: | 九月-2009 | 卷: | 47 | 期: | 3 | 來源出版物: | Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists | 摘要: | Cervicofacial subcutaneous emphysema is an unusual complication following tonsillectomy. We present a 37-year-old male patient who, after receiving tonsillectomy, developed cervicofacial subcutaneous emphysema immediately following endotracheal extubation. Valsalva maneuvers evidenced by coughing and straining of the patient, and positive pressure ventilation by mask to alleviate laryngospasm in an emergency were believed to induce and exacerbate the emphysema. Fortunately, the patient was re-intubated and protected from further complication of pneumomediastinum or pneumothorax. The emphysema resolved 7 days later with conservative treatment, including broad-spectrum antibiotics and abstention from enteral intake. This case serves as a reminder that an unusual and unexpected complication can occur in a routine procedure. Methods to prevent this complication are discussed. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/637748 | ISSN: | 1875-4597 | DOI: | 10.1016/S1875-4597(09)60040-0 |
顯示於: | 醫學系 |
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