PMC7233891_01
Photograph of subcutaneous emphysema prior to VAC therapy (with permission).
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During the (ventilatory) treatment on the ICU, the subcutaneous and mediastinal emphysema increased, resulting in swelling of the entire face, arms, and torso down to the scrotum (Figure 1).
Chest CT scan 1 week after admission to the ICU (with permission).
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A new CT scan was performed 1 week after admission to the ICU, showing severe subcutaneous and mediastinal emphysema (Figure 2).
Photograph of VAC system in situ (with permission).
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After elaborate consideration, it was decided to make two infraclavicular skin incisions and place VAC therapy on these incisions (ActiV.A.C., KCI Medical, -125 mm Hg; Figure 3).