Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula
A 4-year-old child had closure of tracheocutaneous fistula under general anaesthesia. He developed extensive surgical emphysema over the face, chest, and upper abdomen immediately in the recovery room. We gave him oxygen supplementation, removed surgical stitch, and inserted a 4 mm tracheostomy tube...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/3714718 |
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| author | R. Gurung B. M. Shakya H. Dutta |
| author_facet | R. Gurung B. M. Shakya H. Dutta |
| author_sort | R. Gurung |
| collection | DOAJ |
| description | A 4-year-old child had closure of tracheocutaneous fistula under general anaesthesia. He developed extensive surgical emphysema over the face, chest, and upper abdomen immediately in the recovery room. We gave him oxygen supplementation, removed surgical stitch, and inserted a 4 mm tracheostomy tube to secure airway. Chest X-ray ruled out pneumothorax or pneumomediastinum. After a week, a tight bandage was applied which approximated the tissue and helped in the closure of stoma; no suture was applied. The patient was discharged home on the fourth postoperative day. The patient needs close observation in the postoperative period with likely complication in mind. Recognizing early signs and symptoms of respiratory distress with quick intervention is lifesaving during the complication of tracheocutaneous fistula surgery. In absence of pneumothorax or pneumomediastinum, extensive surgical emphysema occurring during primary closure of tracheocutaneous fistula can be treated without inserting any drainage tube. |
| format | Article |
| id | doaj-art-6161c7ea6c984475892c7170ede15686 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-6161c7ea6c984475892c7170ede156862025-02-03T01:05:00ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/37147183714718Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous FistulaR. Gurung0B. M. Shakya1H. Dutta2Department of Anaesthesiology, Maharajgunj Medical Campus, Kathmandu, NepalDepartment of Anaesthesiology, Maharajgunj Medical Campus, Kathmandu, NepalDepartment of ENT, Maharajgunj Medical Campus, Kathmandu, NepalA 4-year-old child had closure of tracheocutaneous fistula under general anaesthesia. He developed extensive surgical emphysema over the face, chest, and upper abdomen immediately in the recovery room. We gave him oxygen supplementation, removed surgical stitch, and inserted a 4 mm tracheostomy tube to secure airway. Chest X-ray ruled out pneumothorax or pneumomediastinum. After a week, a tight bandage was applied which approximated the tissue and helped in the closure of stoma; no suture was applied. The patient was discharged home on the fourth postoperative day. The patient needs close observation in the postoperative period with likely complication in mind. Recognizing early signs and symptoms of respiratory distress with quick intervention is lifesaving during the complication of tracheocutaneous fistula surgery. In absence of pneumothorax or pneumomediastinum, extensive surgical emphysema occurring during primary closure of tracheocutaneous fistula can be treated without inserting any drainage tube.http://dx.doi.org/10.1155/2020/3714718 |
| spellingShingle | R. Gurung B. M. Shakya H. Dutta Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula Case Reports in Anesthesiology |
| title | Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula |
| title_full | Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula |
| title_fullStr | Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula |
| title_full_unstemmed | Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula |
| title_short | Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula |
| title_sort | extensive surgical emphysema in a child after primary closure of tracheocutaneous fistula |
| url | http://dx.doi.org/10.1155/2020/3714718 |
| work_keys_str_mv | AT rgurung extensivesurgicalemphysemainachildafterprimaryclosureoftracheocutaneousfistula AT bmshakya extensivesurgicalemphysemainachildafterprimaryclosureoftracheocutaneousfistula AT hdutta extensivesurgicalemphysemainachildafterprimaryclosureoftracheocutaneousfistula |