The use of chest band to prevent CO(2) subcutaneous emphysema expansion -Two case reports-.
CO(2) subcutaneous emphysema is one of the complications of laparoscopic surgery using CO(2) gas. During laparoscopic surgery, CO(2) gas can spread to the entire body surface through the subcutaneous tissue layer. Extensive CO(2) subcutaneous emphysema results in hypercarbia and acute respiratory acidosis. Hypercarbia and acidosis can lead to decreased cardiac contractility and arrhythmia. A cloth band, 5 cm in width and 120 cm in length, was made with Velcro tape at both tips, and placed on the patient's xyphoid process level and inframammary fold to prevent CO(2) subcutaneous emphysema. This report describes two successful cases using a chest band to prevent the expansion of CO(2) subcutaneous emphysema.
Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Il-Hwan
IH
Jeong
Won-Jun
WJ
Choi
Yun Hong
YH
Kim
Hyun Soo
HS
Kim
Can J Anaesth. 1994 Apr;41(4):314-6
8004738
Obstet Gynecol. 2000 May;95(5):704-9
10775733
Anesth Analg. 2000 Sep;91(3):589-95
10960382
Chest. 2002 Feb;121(2):647-9
11834684
Anesth Analg. 1993 Mar;76(3):622-6
8452278
Dig Surg. 2004;21(2):95-105
15010588
J Urol. 1996 Apr;155(4):1368-71
8632576
J Urol. 1995 Sep;154(3):959-63
7637101
AANA J. 2002 Dec;70(6):456-61
12526151