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Ann Acad Med Singap · Mar 2000
Case ReportsSubcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia.
- C L Chiu and G S Ong.
- Department of Anaesthesia, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
- Ann Acad Med Singap. 2000 Mar 1; 29 (2): 256-8.
IntroductionWe report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation.Clinical PictureA 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.TreatmentHe was treated conservatively with bed rest, oxygen, analgesia, antibiotic prophylaxis, reassurance and close monitoring.OutcomeThe patient made an uneventful recovery.ConclusionsWe discussed the possible causes.
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