caa a22 4500 445373644 CHVBK 20180317142955.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00540-011-1120-9 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1120-9 Nitrogenous subcutaneous emphysema caused by spray application of fibrin glue during retroperitoneal laparoscopic surgery [Elektronische Daten] [Shinji Matsuse, Atsushi Maruyama, Yoshiki Hara] We report a case of a patient treated by retroperitoneoscopic partial nephrectomy who developed nitrogenous subcutaneous emphysema (SCE) as a complication. The use of a nitrogen gas-pressured fibrin tissue adhesive applied as a spray caused excessively increased pressure in the closed retroperitoneal space and resulted in widespread SCE with protracted clinical course. To the best of our knowledge, this is the first report of nitrogenous SCE associated with pneumoperitoneum. The clinical significance of nitrogenous SCE is emphasized, and the risks associated with the use of fibrin glue as a spray during laparoscopic surgery are discussed. Japanese Society of Anesthesiologists, 2011 Subcutaneous emphysema nationallicence Fibrin glue nationallicence Nitrogen nationallicence Spray nationallicence Retroperitoneal laparoscopy nationallicence Matsuse Shinji Department of Anesthesia, Kasukabe-chuo General Hospital, Midori-cho 5-9-4, 344-0063, Kasukabe, Saitama, Japan aut Maruyama Atsushi Department of Anesthesia, Kasukabe-chuo General Hospital, Midori-cho 5-9-4, 344-0063, Kasukabe, Saitama, Japan aut Hara Yoshiki Department of Anesthesia, Kasukabe-chuo General Hospital, Midori-cho 5-9-4, 344-0063, Kasukabe, Saitama, Japan aut Journal of Anesthesia Springer Japan 25/3(2011-06-01), 426-430 0913-8668 25:3<426 2011 25 540 https://doi.org/10.1007/s00540-011-1120-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1120-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Matsuse Shinji Department of Anesthesia, Kasukabe-chuo General Hospital, Midori-cho 5-9-4, 344-0063, Kasukabe, Saitama, Japan aut NATIONALLICENCE 700 1- Maruyama Atsushi Department of Anesthesia, Kasukabe-chuo General Hospital, Midori-cho 5-9-4, 344-0063, Kasukabe, Saitama, Japan aut NATIONALLICENCE 700 1- Hara Yoshiki Department of Anesthesia, Kasukabe-chuo General Hospital, Midori-cho 5-9-4, 344-0063, Kasukabe, Saitama, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/3(2011-06-01), 426-430 0913-8668 25:3<426 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer