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Chest, Vol 99, 1021-1023, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Pneumatic chest wall compression. A cause of respiratory failure from massive subcutaneous emphysema

SE Eveloff, WE Donat, R Aisenberg and SS Braman
Division of Pulmonary and Critical Care Medicine, Rhode Island Hospital, Providence 02903.

Subcutaneous emphysema rarely causes significant adverse clinical consequences. Two patients had development of massive subcutaneous emphysema during positive-pressure ventilation that resulted in chest wall compression and respiratory failure. Drainage of the subcutaneous air produced dramatic improvement. Subcutaneous emphysema is potentially fatal in ventilated patients. Specific decompression of subcutaneous tissues is indicated in such extreme cases.


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P. L. Beck, S. J. Heitman, and C. H. Mody
Simple Construction of a Subcutaneous Catheter for Treatment of Severe Subcutaneous Emphysema
Chest, February 1, 2002; 121(2): 647 - 649.
[Abstract] [Full Text] [PDF]


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Copyright © 1991 by the American College of Chest Physicians.