title: Tension subcutaneous emphysema during laparoscopic surgery treatment of colon cancer: a case report.
abstract: Carbon dioxide (CO2) insufflation is now essential for most endoscopic surgeries, such as abdominal, pelvic, and neck endoscopic surgery. It is not uncommon for CO2 leaks to occur unintentionally into subcutaneous tissue, later diffusing into a patient's bloodstream and resulting in hypercarbia. Regardless of the etiology of subcutaneous emphysema, a similar clinical management is required. Herein, we report on a case of tension subcutaneous emphysema and subsequent fatal ventilatory failure due to massive subcutaneous emphysema during laparoscopy. A timely blowhole incision is an effective intervention in an emergent setting like this case, although the patient had endotracheal intubation.
authors.affiliation: Department of Anesthesiology and Intensive Care, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: J S
authors.initials: JS
authors.lastname: Chea
authors.affiliation: Department of Anesthesiology and Intensive Care, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: S M
authors.initials: SM
authors.lastname: Chae
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: S W
authors.initials: SW
authors.lastname: Moon
mesh_terms: D000368:Aged; D002245:Carbon Dioxide / Q000008:administration & dosage / Q000009:adverse effects; D003082:Colectomy / Q000009:adverse effects* / Q000379:methods; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007327:Insufflation / Q000009:adverse effects; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D012131:Respiratory Insufficiency / Q000209:etiology / Q000601:surgery; D013352:Subcutaneous Emphysema / Q000175:diagnosis / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D002245:Carbon Dioxide