A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation Tracheostomy
Tracheostomy is the most frequently performed operation in the intensive care unit. According to some data, the frequency of performance fluctuates within 0.1–0.5 cases per 1000 patients on artificial ventilation. In recent years, dilation techniques for applying a tracheostomy cannula have been act...
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2025-04-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/2091 |
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| author | E. V. Kelekhsaeva T. P. Suchilnikova K. A. Popugaev A. V. Bondarenko Kh. V. Burnatsev I. M. Valiev K. V. Vetrova N. M. Kruglyakov A. K. Semenko R. V. Tsakoev O. O. Tsarakov F. F. Khamitov O. V. Parinov A. S. Samoilov |
| author_facet | E. V. Kelekhsaeva T. P. Suchilnikova K. A. Popugaev A. V. Bondarenko Kh. V. Burnatsev I. M. Valiev K. V. Vetrova N. M. Kruglyakov A. K. Semenko R. V. Tsakoev O. O. Tsarakov F. F. Khamitov O. V. Parinov A. S. Samoilov |
| author_sort | E. V. Kelekhsaeva |
| collection | DOAJ |
| description | Tracheostomy is the most frequently performed operation in the intensive care unit. According to some data, the frequency of performance fluctuates within 0.1–0.5 cases per 1000 patients on artificial ventilation. In recent years, dilation techniques for applying a tracheostomy cannula have been actively developed due to their low trauma , the ability to perform the operation at the patient’s bedside, and rapid healing of the tracheostomy wound. Today, the “gold standard” of tracheostomy is puncture-dilation tracheostomy under fiberoptic bronchoscopic guidance.This method has its drawbacks, which is confirmed by a large number of complications. Thus, one of the complications of tracheostomy that is difficult to correct is the “gas” syndrome, which includes pneumomediastinum, subcutaneous emphysema and pneumothorax. These complications are considered to be a consequence of damage to the posterior wall of the trachea. Our clinical example demonstrates another mechanism for the development of the above complications.We present a clinical example of the development of subcutaneous emphysema, pneumomediastinum and pneumothorax without damage to the posterior wall of the trachea. |
| format | Article |
| id | doaj-art-9ca8d8fa1a8b4457ae4d1d8327f70be8 |
| institution | Matheson Library |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2025-04-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-9ca8d8fa1a8b4457ae4d1d8327f70be82025-08-04T10:30:26ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172025-04-0114122423010.23934/2223-9022-2025-14-1-224-2301023A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation TracheostomyE. V. Kelekhsaeva0T. P. Suchilnikova1K. A. Popugaev2A. V. Bondarenko3Kh. V. Burnatsev4I. M. Valiev5K. V. Vetrova6N. M. Kruglyakov7A. K. Semenko8R. V. Tsakoev9O. O. Tsarakov10F. F. Khamitov11O. V. Parinov12A. S. Samoilov13A.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaLomonosov Moscow State University, Medical Research and Educational CenterA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaLomonosov Moscow State University, Medical Research and Educational CenterA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaA.I. Burnazyan Federal Medical Biophysical Center FMBA of RussiaTracheostomy is the most frequently performed operation in the intensive care unit. According to some data, the frequency of performance fluctuates within 0.1–0.5 cases per 1000 patients on artificial ventilation. In recent years, dilation techniques for applying a tracheostomy cannula have been actively developed due to their low trauma , the ability to perform the operation at the patient’s bedside, and rapid healing of the tracheostomy wound. Today, the “gold standard” of tracheostomy is puncture-dilation tracheostomy under fiberoptic bronchoscopic guidance.This method has its drawbacks, which is confirmed by a large number of complications. Thus, one of the complications of tracheostomy that is difficult to correct is the “gas” syndrome, which includes pneumomediastinum, subcutaneous emphysema and pneumothorax. These complications are considered to be a consequence of damage to the posterior wall of the trachea. Our clinical example demonstrates another mechanism for the development of the above complications.We present a clinical example of the development of subcutaneous emphysema, pneumomediastinum and pneumothorax without damage to the posterior wall of the trachea.https://www.jnmp.ru/jour/article/view/2091tracheostomypuncture-dilation tracheostomypneumothoraxpneumomediastinumsubcutaneous emphysemaultrasound guidance of tracheostomy |
| spellingShingle | E. V. Kelekhsaeva T. P. Suchilnikova K. A. Popugaev A. V. Bondarenko Kh. V. Burnatsev I. M. Valiev K. V. Vetrova N. M. Kruglyakov A. K. Semenko R. V. Tsakoev O. O. Tsarakov F. F. Khamitov O. V. Parinov A. S. Samoilov A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation Tracheostomy Неотложная медицинская помощь tracheostomy puncture-dilation tracheostomy pneumothorax pneumomediastinum subcutaneous emphysema ultrasound guidance of tracheostomy |
| title | A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation Tracheostomy |
| title_full | A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation Tracheostomy |
| title_fullStr | A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation Tracheostomy |
| title_full_unstemmed | A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation Tracheostomy |
| title_short | A Rare Cause of Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema After Performing Puncture-Dilation Tracheostomy |
| title_sort | rare cause of pneumomediastinum pneumothorax and subcutaneous emphysema after performing puncture dilation tracheostomy |
| topic | tracheostomy puncture-dilation tracheostomy pneumothorax pneumomediastinum subcutaneous emphysema ultrasound guidance of tracheostomy |
| url | https://www.jnmp.ru/jour/article/view/2091 |
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