Decompression Technique Using Subcutaneous Angiocatheter Insertion to Relieve Extensive Subcutaneous Emphysema: A Case Report

• Published in: The Journal of emergency medicine 2023-04, Vol.64 (4), p.491-495
• Main Authors: Kim, Jong Hee, MD, Park, Gwan Jin, MD, Kim, Young Min, MD, Chai, Hyun Seok, MD, Kim, Sang Chul, MD, PhD, Kim, Hoon, MD, PhD, Lee, Suk Woo, MD, PhD
• Format: Article
• Language: English
• Subjects: Aged, 80 and over; catheter; decompression; Decompression - adverse effects; Emergency; Humans; Male; Mediastinal Emphysema - etiology; Pneumothorax - etiology; Pneumothorax - surgery; respiratory insufficiency; subcutaneous emphysema; Subcutaneous Emphysema - etiology; Subcutaneous Emphysema - surgery; Subcutaneous Tissue; Thorax
• ISSN: 0736-4679; 2352-5029
• DOI: 10.1016/j.jemermed.2023.02.019

AbstractBackgroundTrauma, pneumothorax, complication of surgery, infection, or malignancy can cause subcutaneous emphysema and although most subcutaneous emphysema cases are self-limited, extensive subcutaneous emphysema can lead to a compromised airway and cardiovascular system. In this report, we described a successful treatment strategy in which subcutaneous angiocatheter insertion was used to relieve the pressure of extensive subcutaneous emphysema. Case ReportAn 83-year-old man was received at the emergency department (ED) for recurrent pneumothorax and extensive subcutaneous emphysema. Six 18-gauge angiocatheters were inserted under the thoracic subcutaneous tissue and a noticeable improvement was seen 3 h after angiocatheter insertion. Why Should an Emergency Physician Be Aware of This?Subcutaneous angiocatheter insertion may be a safe and uncomplicated decompression technique to relieve extensive subcutaneous emphysema, particularly in the ED.