[Life-threatening subcutaneous emphysema after minor blow to

Der Anaesthesist · Feb 2019

Case Reports

[Life-threatening subcutaneous emphysema after minor blow to the neck].

After a minor blow to the neck from the handlebars of a bike, a 5-year-old boy developed a massive subcutaneous emphysema with respiratory distress. Orotracheal intubation was performed. A computed tomography (CT) scan of the neck and thorax showed a pneumomediastinum and a bilateral pneumothorax. ⋯ The patient was stabilized by insertion of chest tubes and controlled ventilation. The endoscopic examination of the trachea revealed a tear of the pars membranacea, which was successfully treated conservatively. The specific features of the injury and the airway management are discussed based on a review of the current literature.

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- C Neuhäuser, T Kroll, G Wolf, H Uhlich, L Tomczyk, M Schwarzer, M Rohde, H Spors, L Naehrlich, N Mazhari, D Litzlbauer, and C Jux.
- Abteilung für Kinderkardiologie, Hessisches Kinderherzzentrum, Zentrum für Kinderheilkunde und Jugendmedizin am Standort Gießen, UKGM, Feulgenstr. 10-12, 35392, Gießen, Deutschland. christoph.neuhaeuser@paediat.med.uni-giessen.de.
- Anaesthesist. 2019 Feb 1; 68 (2): 104-107.
AbstractAfter a minor blow to the neck from the handlebars of a bike, a 5-year-old boy developed a massive subcutaneous emphysema with respiratory distress. Orotracheal intubation was performed. A computed tomography (CT) scan of the neck and thorax showed a pneumomediastinum and a bilateral pneumothorax. No injury to the large airways was identified. The patient was stabilized by insertion of chest tubes and controlled ventilation. The endoscopic examination of the trachea revealed a tear of the pars membranacea, which was successfully treated conservatively. The specific features of the injury and the airway management are discussed based on a review of the current literature.

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[Life-threatening subcutaneous emphysema after minor blow to the neck].

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