Login
Site Search
Trauma-List Subscription

Subscribe

Would you like to receive list emails batched into one daily digest?
No Yes

 

Modify Your Subscription

Modify

 

Home > List Archives

List Archives

For your convenience, find the Trauma List Archive Below

Venting subcutaneous emphysema

Ronald Simon trauma-list@trauma.org
Wed, 09 Jan 2002 19:35:37 -0500 

--------------090707010501070800030107
Content-Type: text/plain; charset=us-ascii; format=flowed
Content-Transfer-Encoding: 7bit

Her pulm func is not perfect because of the contusions. She is on trials 
of pressure support and CMV. Have not CT'd her since admission
Ron

Mark Mazer wrote:

>>A 48 yo woman victim of MVC. Has multiple rib fx, pulm contusions, R
>>pneumothorax for which a chest tube was placed. Patient now several days
>>out chest tube still has small airleak, lung is up on chest xray. She
>>has over the last few days developed significant subcut emphysema of her
>>chest and face. My collegue wants to place a mediastinal "vent" (small
>>incision above the manubrium to allow the air to escape). This does not
>>make sense to me but in trying to be open minded i'm wondering if this
>>is a described treatment. As far as i'm concerned as long as the chest
>>tube is controlling the leak, the SQ air is unsightly and has no adverse
>>effects unlike making a connection between the mediastinum and the
>>
>
>In general I concur with you...is she oxgenating okay, is there any thoracic
>ct data (ie pneumo not seen on CXR), what mode of ventilation (ie vcv vs
>pcv)?, etc.
>Marquo
>
>
>--
>trauma-list : TRAUMA.ORG
>To change your settings or unsubscribe visit:
>http://www.trauma.org/traumalist.html
>


--------------090707010501070800030107
Content-Type: text/html; charset=us-ascii
Content-Transfer-Encoding: 7bit

<html>
<head>
</head>
<body>
Her pulm func is not perfect because of the contusions. She is on trials
of pressure support and CMV. Have not CT'd her since admission<br>
Ron<br>
<br>
Mark Mazer wrote:<br>
<blockquote type="cite" cite="mid:000c01c198aa$d1034800$6401a8c0@charterpa.com">
  <blockquote type="cite">
    <pre wrap="">A 48 yo woman victim of MVC. Has multiple rib fx, pulm contusions, R<br>pneumothorax for which a chest tube was placed. Patient now several days<br>out chest tube still has small airleak, lung is up on chest xray. She<br>has over the last few days developed significant subcut emphysema of her<br>chest and face. My collegue wants to place a mediastinal "vent" (small<br>incision above the manubrium to allow the air to escape). This does not<br>make sense to me but in trying to be open minded i'm wondering if this<br>is a described treatment. As far as i'm concerned as long as the chest<br>tube is controlling the leak, the SQ air is unsightly and has no adverse<br>effects unlike making a connection between the mediastinum and the<br></pre>
    </blockquote>
    <pre wrap=""><!----><br>In general I concur with you...is she oxgenating okay, is there any thoracic<br>ct data (ie pneumo not seen on CXR), what mode of ventilation (ie vcv vs<br>pcv)?, etc.<br>Marquo<br><br><br>--<br>trauma-list : TRAUMA.ORG<br>To change your settings or unsubscribe visit:<br><a class="moz-txt-link-freetext" href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://www.trauma.org/traumalist.html">http://www.trauma.org/traumalist.html</a><br><br></pre>
    </blockquote>
    <br>
    </body>
    </html>

--------------090707010501070800030107--