Acta Scientific Paediatrics (ASPE)

Case Report Volume 7 Issue 1

Subcutaneous Emphysema in a Neonate -The Tip of the Iceberg

Pasupuleti Siva Pradeep, Sushil Singla, Shweta Kumari, Rashmie Prabha and Anand Narayanan*

Department of Pediatrics, Sarvodaya Hospital and Research Centre, Sector 8, Faridabad -121006

*Corresponding Author: Anand Narayanan, Associate Consultant, Sarvodaya Hospital and research centre, Sector 8, Faridabad -121006.

Received: December 14, 2023; Published: December 23, 2023

Abstract

Subcutaneous emphysema is a rare complication of positive pressure ventilation, especially in neonates. Very few cases are available in literature. We report a postterm neonate referred to us in a state of cardiac arrest with gross subcutaneous emphysema in neck and upper chest region which immediately gave us a clue of the underlying pneumothorax and the same was confirmed on chest x-ray after initial resuscitation. So we were able to do a needle thoracotomy followed by chest tube placement following which respiratory distress improved. Subcutaneous emphysema also weaned gradually. This case demonstrates the importance of prompt identification of subcutaneous emphysema as a clue to its underlying etiology. Care should be taken to avoid high pressures during positive pressure ventilation in order to avoid such complications.

Keywords: Subcutaneous; Emphysema; Neonate; Iceberg

References

  1. Kukuruza K and Aboeed A. “Subcutaneous emphysema (2023).
  2. Aghajanzadeh M., et al. “Classification and Management of Subcutaneous Emphysema: a 10-Year Experience”. Indian Journal of Surgery 2 (2015): 673-677.
  3. Maunder RJ., et al. “Subcutaneous and mediastinal emphysema. Pathophysiology, diagnosis, and management”. Archives of Internal Medicine 7 (1984): 1447-1453.
  4. Dhawan AK., et al. “Subcutaneous emphysema mimicking angioedema”. Indian Dermatology Online Journal1 (2016): 55-56.
  5. Masand M and Hauptfleisch C. “Severe subcutaneous emphysema in a term neonate”. BMJ Case Report (2018): bcr2018226415.
  6. Quader AM and Sussman C. “Spontaneous neonatal subcutaneous emphysema: analysis of neonatal management”. Journal of Osteopathic Medicine9 (2022): 465-467.
  7. Hatanaka D., et al. “Neonatal subcutaneous emphysema and pneumomediastinum soon after birth”. Pediatrics International 58 (2016): 541-542.

Citation

Citation: Anand N., et al. “Subcutaneous Emphysema in a Neonate -The Tip of the Iceberg".Acta Scientific Paediatrics 7.1 (2024): 19-21.

Copyright

Copyright: © 2024 Anand N., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US