Naslov
Vacuum-assisted closure in severe subcutaneous emphysema treatment

Autori
Mihanović Jakov ; Bačić Ivan ; Sulen Nina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
Book of abstracts:Acelity surgical wound forum. Frankfurt 2017. / - Frankfurt, 2017, 2-3

Skup
Acelity surgical wound forum. Frankfurt 2017.

Mjesto i datum
Frankfurt na Majni, Njemačka, 15.06.2017. - 17.06.2017

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Subcutaneous emphysema, Negative-pressure wound therapy, Vacuum-assisted closure, Pneumothorax, Respiratory insufficiency

Sažetak
Subcutaneous emphysema may aggravate traumatic pneumothorax treatment, especially when mechanical ventilation is required. Expectative management usually suffices, but when respiratory function is impaired surgical treatment might be indicated. Historically relevant methods are blowhole incisions and placement of various drains, often with related wound complications. Since the first report of negative pressure wound therapy for the treatment of severe subcutaneous emphysema in 2009, only few publications on use of commercially available sets were published. We report on patient injured in a motor vehicle accident who had serial rib fractures and bilateral pneumothorax managed initially in another hospital. Due to respiratory deterioration, haemodynamic instability and renal failure patient was transferred to our Intensive Care Unit. Massive and persistent subcutaneous emphysema despite adequate thoracic drainage with respiratory deterioration and potentially injurious mechanical ventilation with high airway pressures was the indication for active surgical treatment. Negative- pressure wound therapy dressing was applied on typical blowhole incisions which resulted in swift emphysema regression and respiratory improvement. Negative pressure wound therapy for decompression of severe subcutaneous emphysema represents simple, effective and relatively unknown technique that deserves wider attention.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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