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BJA Advance Access published online on December 3, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aei039
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004
Accepted October 26, 2004

Case Report

Upper airway obstruction as a result of massive subcutaneous emphysema following accidental removal of an intercostal drain

D. J. Williams 1*, S. I. Jaggar 1, and C. J. Morgan 1

1 Department of Anaesthetics, Royal Brompton Hospital, Sydney Street, London SW6 6NP, UK

* To whom correspondence should be addressed.
D. J. Williams, E-mail: davidjwilliams{at}doctors.org.uk


  Abstract

A case is described of extensive subcutaneous emphysema with rapid and life-threatening airway obstruction. The incident followed inadvertent removal of a chest drain in a patient with a persistent air leak from an iatrogenic pneumothorax. The pneumothorax had developed during pacemaker insertion.

Keywords: complications, upper airway emergency; complications, upper airway obstruction; complications, subcutaneous emphysema; complications, pneumothorax; complications, pneumomediastinum; equipment, chest drain; equipment, chest tube drainage; equipment, pacemaker.
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Home page
 Br J AnaesthHome page
A. R. Bodenham
Massive subcutaneous emphysema after accidental removal of an intercostal drain
Br. J. Anaesth., July 1, 2005; 95(1): 110 - 110.
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