Enfisema subcutâneo causado por sonda nasofaríngea para administração de oxigênio suplementar: relato de caso

Juliano Rodrigues Gasparini; Luciano Costa Ferreira; Victor Hugo Mariath Rangel

doi:10.1590/S0034-70942010000500013

Clinical Information

Enfisema subcutâneo causado por sonda nasofaríngea para administração de oxigênio suplementar: relato de caso

Subcutaneous emphysema induced by supplementary oxygen delivery nasopharyngeal cannula: case report

Juliano Rodrigues Gasparini; Luciano Costa Ferreira; Victor Hugo Mariath Rangel

http://dx.doi.org/10.1590/S0034-70942010000500013 Braz J Anesthesiol, vol.60, n5, p.558-562, 2010

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JUSTIFICATIVA E OBJETIVOS: A ocorrência de enfisema subcutâneo atingindo face, pescoço e tórax está bem documentada em casos de procedimentos odontológicos, cirurgia de cabeça e/ou pescoço e trauma craniofacial. Sua ocorrência sem lesão reconhecida das mucosas é rara. Este relato descreve um caso clínico em que o enfisema ocorreu sem uma lesão óbvia. RELATO DO CASO: Paciente do sexo masculino, hígido, submetido a anestesias peridural e local associadas à sedação, para a realização de lipoaspiração de abdome e região submentoniana. Procedimento sem intercorrências até posicionar uma sonda nasofaríngea para administrar oxigênio suplementar. Descreve também uma abordagem alternativa para sua resolução. CONCLUSÕES: Embora raro, o enfisema subcutâneo pode ter graves repercussões. A drenagem linfática manual pode ser uma opção para o tratamento da complicação estética

Palavras-chave

COMPLICAÇÕES, CIRURGIA, Plástica

Abstract

BACKGROUND AND OBJECTIVES: The development of subcutaneous emphysema involving face, neck, and thorax has been well-documented in cases of odontologic procedures, head and/or neck surgery, and craniofacial trauma. Its development without known damage to the mucosa is rare. This report describes the case of a patient who developed emphysema without an obvious lesion. CASE REPORT: This is a male patient, healthy, undergoing epidural blockade and local anesthesia associated with sedation for lipoaspiration of the abdomen and submentonian region. Intercurrences were not observed during the procedure until a nasopharyngeal cannula was placed for oxygen administration. We also describe an alternative approach for its resolution. CONCLUSIONS: Although rare, subcutaneous emphysema can have serious repercussions. Manual lymphatic drainage can be an option for the treatment of this aesthetical complication

Keywords

COMPLICATONS, SURGERY, Plastic

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Enfisema subcutâneo causado por sonda nasofaríngea para administração de oxigênio suplementar: relato de caso

Subcutaneous emphysema induced by supplementary oxygen delivery nasopharyngeal cannula: case report

Juliano Rodrigues Gasparini; Luciano Costa Ferreira; Victor Hugo Mariath Rangel

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