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Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series

BACKGROUND: Pneumomediastinum is a rare complication associated with acute respiratory distress syndrome secondary to other viral pneumonias. However, it has been on a rise in COVID-19 patients with severe disease. CASE PRESENTATION: We present three cases to highlight that isolated pneumomediastinu...

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Autores principales: Nazir, Nazia, Saxena, Anupriya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972716/
http://dx.doi.org/10.1186/s42077-022-00235-0
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author Nazir, Nazia
Saxena, Anupriya
author_facet Nazir, Nazia
Saxena, Anupriya
author_sort Nazir, Nazia
collection PubMed
description BACKGROUND: Pneumomediastinum is a rare complication associated with acute respiratory distress syndrome secondary to other viral pneumonias. However, it has been on a rise in COVID-19 patients with severe disease. CASE PRESENTATION: We present three cases to highlight that isolated pneumomediastinum can complicate the course of illness in patients on non-invasive ventilation. In our case series, two COVID-19 diagnosed cases with no previous history of intubation developed pneumomediastinum. They were managed conservatively with a successful outcome. The third patient developed PM with subcutaneous emphysema post-intubation, although managed conservatively succumbed to the disease. CONCLUSIONS: Clinicians need to be alert to the development of such a complication in the event of sudden onset dyspnoea with chest pain. Conservative management, with low pressure settings on the ventilator results in gradual improvement of patient.
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spelling pubmed-89727162022-04-01 Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series Nazir, Nazia Saxena, Anupriya Ain-Shams J Anesthesiol Case Report BACKGROUND: Pneumomediastinum is a rare complication associated with acute respiratory distress syndrome secondary to other viral pneumonias. However, it has been on a rise in COVID-19 patients with severe disease. CASE PRESENTATION: We present three cases to highlight that isolated pneumomediastinum can complicate the course of illness in patients on non-invasive ventilation. In our case series, two COVID-19 diagnosed cases with no previous history of intubation developed pneumomediastinum. They were managed conservatively with a successful outcome. The third patient developed PM with subcutaneous emphysema post-intubation, although managed conservatively succumbed to the disease. CONCLUSIONS: Clinicians need to be alert to the development of such a complication in the event of sudden onset dyspnoea with chest pain. Conservative management, with low pressure settings on the ventilator results in gradual improvement of patient. Springer Berlin Heidelberg 2022-04-01 2022 /pmc/articles/PMC8972716/ http://dx.doi.org/10.1186/s42077-022-00235-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Nazir, Nazia
Saxena, Anupriya
Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series
title Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series
title_full Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series
title_fullStr Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series
title_full_unstemmed Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series
title_short Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series
title_sort isolated pneumomediastinum in severe category covid-19 patients admitted in icu: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972716/
http://dx.doi.org/10.1186/s42077-022-00235-0
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