subcutaneous emphysema/hypoxia

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[Swyer-James syndrome with pneumomediastinum and subcutaneous emphysema due to bronchial asthma].

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A 24-year-old woman was admitted to our hospital due to moderate asthmatic attacks. Dyspnea and hypoxemia progressed gradually despite medication. A chest roentgenogram revealed left unilateraly hyperlucency with pneumomediastiumn and subcutaneous emphysema. Swyer-James syndrome was diagnosed.

A case of subcutaneous emphysema/mediastinal emphysema during the use of humidified high-flow nasal cannula.

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Heated, humidified, high-flow nasal cannula (HHFNC) oxygen therapy allows optimal humidification of inspired gas at high flows and creates a distending pressure similar to nasal continuous positive airway pressure [1]. It has been safely used in adults with moderate hypoxemia with few

Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: a case report.

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We reported a case with tension pneumoperitoneum while being on high-frequency oscillatory ventilation.A 12-month-old Thai girl presented with acute respiratory distress syndrome, septic shock, and bacterial pneumonia. Although supported with mechanical

Hazards of tube thoracostomy in patients on a ventilator.

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A patient with post-pneumonia empyema complicated by type-2 respiratory failure required mechanical ventilation as part of his therapy. A pneumothorax was noted on his chest radiograph. This was treated with an intercostal chest drain (ICD). Unfortunately, he was still hypoxic, his subcutaneous

Case of chest pain in a young man.

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A young man with a history of smoking presented with acute-onset chest pain after lifting weights. He also noticed a change in his voice, tightness in his neck and difficulty breathing. A chest radiograph showed soft tissue emphysema in the neck. A CT scan of the chest revealed moderate amount of

Spontaneous pneumothorax in pregnancy and labour.

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A case of spontaneous pneumothorax occurring at the end of labour in a healthy 17-year-old primigravida is described. Its occurrence was accompanied by marked surgical emphysema of the face, neck, arms and thorax. The patient had had previous thyroid surgery and was coincidentally found to have

Percutaneous dilational tracheostomy--a 3 year experience in a general hospital in Malaysia.

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All percutaneous tracheostomies performed in the general intensive care unit (ICU), Hospital Sultanah Aminah, Johor Bahru, Malaysia, from July 1999 to June 2002 were studied. The tracheostomies were performed as an elective bedside technique in the ICU. A total of 352 percutaneous tracheostomies

[Tracheal and bronchial rupture after blunt thoracic trauma].

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Airway disruptions after blunt chest trauma are rather infrequent with an incidence of about 1%. Even in large centers with many such casualties they are episodical. The clinical picture is not an uniform one, and typical clinical signs occur often without an airway lesion. Therefore, the correct

Pneumothorax during laparoscopic totally extraperitoneal inguinal hernia repair -A case report-.

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We experienced an extremely rare complication during performance of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair for a 57-year-old healthy man. About 50 minutes after CO(2) insufflation, the patient developed tachycardia, hypoxemia, hypercapnia and an increased airway pressure.

Sharing features of uncommon respiratory syncytial virus complications in infants.

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We describe 4 nonconsecutive cases of infants admitted to Catholic University pediatric intensive care unit (PICU) because of complicated respiratory syncytial virus (RSV) infection during winter RSV outbreaks from the year 2000 to the year 2003. A hyponatremic epileptic status (as in the first

Management of tracheobrochial injuries: a 10-year experience at Ratchaburi hospital.

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OBJECTIVE Tracheobronchial injuries are rare but life threatening. Their successful diagnosis and treatment require a high level of suspicion and early surgical repair The authors review their experience in managing these injuries over the past 10 years. METHODS Patients who were admitted to the

Is it safe to use frova airway intubating device during tracheal intubation in difficult airway patient with multiple and chest trauma?

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Traumatic chest injury is one of the leading causes of death in motor vehicle accident (MVA). A complete tracheobronchial injury occurred in 1% of trauma cases and most of the cases died before arrival to the emergency department. We report a 37-year-old female involved in MVA presented to the

Bronchial rupture after intubation with double lumen endotracheal tube. Case report.

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OBJECTIVE Tracheobronchial tree injuries are uncommon however severe complications after intubation or bronchoscopy. This report aimed at calling the attention to the difficult selective intubation, which has led to bronchial rupture associated to pneumomediastinum and hypertensive pneumothorax,

From continuous positive-pressure breathing to ventilator-induced lung injury.

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Continuous positive-pressure ventilation in acute respiratory failure. By Kumar A, Falke KJ, Geffin B, Aldredge CF, Laver MB, Lowentein E, Pontoppidan H. N Engl J Med 1970; 283:1430-6. Reprinted with permission. Continuous positive-pressure ventilation was used in eight patients with severe acute

[Management of pediatric iatrogenic tracheobronchial lesions in pediatric patients].

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OBJECTIVE To present our experience in the management of three cases of tracheobronchial iatrogenic injuries and the literature revision about this pathology. METHODS We present 3 patients treated in our center with tracehobronchial iatrogenic injuries since 2005. RESULTS Case 1. 8 year old boy who

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