Extensive subcutaneous emphysema complicating a percutaneous Mumford procedure

Shanmugasundaram, Saseendar; Tan, Si Heng Sharon; Vijayan, Sandeep; Pawaskar, Aditya; Kumar, Veerendra

doi:10.1007/s00167-014-3183-2

Cited by 3 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twenty-five cases met the eligibility criteria (Fig. 3) [1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. In twenty-four cases, the patient underwent general anesthesia and orotracheal intubation; in 9 of these, a plexus anesthetic block was also performed (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Tracheal lesion during shoulder surgery: a case report and systemic review of the literature

Vetrugno

Divella²,

Orso

et al. 2021

J Anesth Analg Crit Care

View full text Add to dashboard Cite

Pneumomediastinum (PNM) and pneumothorax (PNX) are documented complications of arthroscopic shoulder surgery (ATS). Plexus anesthetic block and tracheal lesions during endotracheal intubation are hypothesized to be the underlying risk factors; however, the actual evidence supporting this hypothesis is scarce.A case of bilateral laterocervical emphysema, subcutaneous edema, and signs of PNM after ATS performed under general anesthesia and supra-scapular nerve block is presented. An up-to-date systematic review of PNM/PNX during orthopedic surgery was performed, involving six databases: PubMed (1996–present), Embase (1974–present), Scopus (2004–present), SpringerLink (1950–present), Ovid Emcare (1995–present), and Google Scholar (2004–present).Twenty-five case studies met the eligibility criteria. In 24 cases, the patient underwent general anesthesia and orotracheal intubation; in 9 of these, a plexus anesthetic block was also performed. One case involved ATS under plexus anesthetic block only. In 10 cases, the diagnostic finding was PNM. In 5 cases, the diagnostic finding was associated with PNX. PNX was detected in 17 cases. In 2 cases, SE was found in the absence of any evidence of either PNM or PNX. A tracheal lesion was identified in 3 cases.Endotracheal intubation and loco-regional anesthesia are not the only predisposing risk factors at play in the pathogenesis of PNM/PNX. Rather, multi-factorial pathogenesis seems more probable, necessitating that specific attention is paid during ATS to the change in patient position on the operating bed, to any slipping of the endotracheal tube, to patient monitoring whilst under the drapes, and to the cuff pressure. PROSPERO registration number: CRD42021260370.

show abstract

Section: Resultsmentioning

confidence: 99%

Tracheal lesion during shoulder surgery: a case report and systemic review of the literature

Vetrugno

Divella²,

Orso

et al. 2021

J Anesth Analg Crit Care

View full text Add to dashboard Cite

show abstract

Percutaneous distal clavicle excision for acromioclavicular joint arthritis: our experience and early results of a novel surgical technique

Hong

et al. 2021

Musculoskelet Surg

View full text Add to dashboard Cite

Surgical emphysema following shoulder arthroscopy – A case report and review of a less recognized complication

Sivaram

Shanmugasundaram

Thangavel³

et al. 2020

JASSM

View full text Add to dashboard Cite

Arthroscopy is an established modality of treatment for various conditions of the shoulder attributable to its minimally invasive nature. The possibility of surgical procedure-related complications is usually low. However, there have been sporadic reports of surgical emphysema following shoulder arthroscopy that can range from simple subcutaneous emphysema to life-threatening pneumothorax (PT) and pneumomediastinum (PM). The mechanism of this phenomenon is still elusive. We report the case of a 41-year-old female without pre-existing lung problems who developed extensive subcutaneous emphysema, PT, and PM after shoulder arthroscopy in the absence of an identifiable tracheal injury and masquerading as angioedema. We have extensively reviewed available literature and the mechanisms proposed have been analyzed. Acknowledging the existence of such a complication along with high degree of suspicion will help tackle the problem early and avert unforeseen complications.

show abstract

Extensive subcutaneous emphysema complicating a percutaneous Mumford procedure

Cited by 3 publications

References 12 publications

Tracheal lesion during shoulder surgery: a case report and systemic review of the literature

Tracheal lesion during shoulder surgery: a case report and systemic review of the literature

Percutaneous distal clavicle excision for acromioclavicular joint arthritis: our experience and early results of a novel surgical technique

Surgical emphysema following shoulder arthroscopy – A case report and review of a less recognized complication

Contact Info

Product

Resources

About