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Upper airway obstruction caused by massive subcutaneous emphysema
Authors:R T N Gibney  B Finnegan  M X FitzGerald  V Lynch
Institution:(1) Intensive Care Unit, St. Vincent's Hospital, Dublin, Ireland;(2) Department of Respiratory Medicine, St. Vincent's Hospital, Dublin, Ireland;(3) Department of Surgery, St. Vincent's Hospital, Dublin, Ireland;(4) Department of Anaesthesia, St. Vincent's Hospital, Dublin, Ireland;(5) Intensive Care Unit, Edmonton General Hospital, 11111 Jasper Avenue, T5K OL4 Edmonton, Alberta, Canada
Abstract:Acute upper airway obstruction is a potentially life-threatening event. The most common causes include foreign body inhalation, thermal injury, inflammation, angioedema and trauma. Airway obstruction caused by submucosal extension of subcutaneous emphysema has only been previously reported once. We report the case of a patient who suffered a respiratory arrest as a result of hypopharyngeal and laryngeal swelling associated with massive subcutaneous emphysema.
Keywords:Pneumothorax  Pneumomediastinum  Upper airway obstruction
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