Post Partum Pneumomediastinum

Bl, Duffy

doi:10.1177/0310057x0403200120

Cited by 18 publications

(9 citation statements)

References 15 publications

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“…[567] Though uncommon, SPM has also been identified in situations such as childbirth,[11] forceful straining during exercise, straining at passing stool, coughing and sneezing. [12]…”

Section: Features Of Presentationmentioning

confidence: 99%

Spontaneous pneumomediastinum: Time for consensus

et al. 2013

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Pneumomediastinum (PM) is defined as the presence of free air in the mediastinal cavity. It is often regarded as a revealing sign of a more serious medical condition. PM is broken down into two categories, one, with an instigating event, referred to as secondary PM. The other is when free air is discovered in the mediastinal cavity without a clear etiology, referred to as spontaneous pneumomediastinum (SPM). Often misdiagnosed due to the vague nature of presenting symptoms, SPM must be part of the differential diagnosis of a chest pain patient to expedite discovery and if necessary, management. A MedLine/PubMED search was performed identifying all relevant articles with “SPM” in the title. Six case series were reviewed to determine what clinical scenario constitutes a possible case of SPM. Results showed that almost all patients with SPM exhibited some chest pain, but Hamman’s crunch was present in only one-fifth of patients. Patients with certain pre-existing pulmonary diseases showed a greater propensity for the presence of free air in the mediastinal cavity. SPM must be diagnosed and managed promptly due to rare, but serious complications and any chest pain with an unknown etiology should contain SPM in the differential diagnosis.

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“…[567] Though uncommon, SPM has also been identified in situations such as childbirth,[11] forceful straining during exercise, straining at passing stool, coughing and sneezing. [12]…”

Section: Features Of Presentationmentioning

confidence: 99%

Spontaneous pneumomediastinum: Time for consensus

et al. 2013

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“…Management includes avoidance of factors likely to exacerbate the condition such as active pushing, the use of nitric oxide and positive pressure ventilation, and attention to the reassurance and comfort of the patient [13]. Regional anaesthesia is preferred for caesarean section, in order to avoid positive pressure ventilation [14]. …”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumomediastinum in Labor

Berdaï

Benlamkadem

Labib

et al. 2017

Case Reports in Obstetrics and Gynecology

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Spontaneous pneumomediastinum and subcutaneous emphysema also known as Hamman's syndrome is a very rare complication of labor that is often related to the valsalva maneuver during the labor. In most case, Hamman's syndrome is a self-limiting condition, rarely complicated unless there are underlying respiratory diseases. Chest X-ray can be a useful early diagnostic technique in severe clinical presentation. We report an uneventful pregnancy in a primigravid parturient, which was complicated in the late second stage of labor by the development of subcutaneous emphysema, pneumomediastinum, and mild pneumothorax. Spontaneous recovery occurred after four days of conservative management. This condition shows the major interest of labor analgesia especially locoregional techniques.

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“…Spontaneous pneumomediastinum is associated with childbirth [8], forceful straining, coughing, sneezing, retching or vomiting, all activities that require the valsalva manoeuvre [9].…”

Section: Discussionmentioning

confidence: 99%