کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3246875 1589143 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Management of Subcutaneous Emphysema with “Gills”: Case Report and Review of the Literature
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Management of Subcutaneous Emphysema with “Gills”: Case Report and Review of the Literature
چکیده انگلیسی

BackgroundSubcutaneous emphysema is often a symptom of a serious pathologic condition but rarely requires direct treatment. Subcutaneous emphysema itself occasionally may interfere with effective cardiopulmonary resuscitation and require direct intervention.ObjectiveThe aim of this article is to present a case of subcutaneous emphysema during cardiac arrest and to describe a therapeutic technique that we call the “gills” procedure, as well as the background and rationale for this and other similar techniques.Case ReportA 56-year-old man sustained cardiac arrest in the setting of a perforated duodenal ulcer with massive subcutaneous emphysema and pneumomediastinum that interfered with effective cardiopulmonary resuscitation. A “gills” procedure consisting of bilateral skin incisions over the clavicles was performed, with the return of spontaneous circulation.ConclusionSubcutaneous emphysema and pneumomediastinum can cause tension physiology, impairing normal cardiovascular and pulmonary function. Only with release of this tension can normal cardiopulmonary function return. The gills procedure is one of several possible therapeutic options.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 45, Issue 5, November 2013, Pages 666–669
نویسندگان
, ,