Prise en charge du pneumomédiastin spontané chez l’adulte : à propos de 14 cas avec revue de la littérature

Zendah, I.; Bacha, S.; Daghfous, H.; Mrad, S. Ben; Merai, S.; Tritar, F.

doi:10.1016/j.pneumo.2009.08.003

Cited by 8 publications

(5 citation statements)

References 14 publications

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“…Pneumomediastinum complicating COVID-19 has been treated conservatively, even with small pneumothorax, in prior case reports. 14 The decision to place a chest tube has been an individual one, baring into consideration severity of the disease and expansion of pneumothorax with little extra guidance from prior published guidelines in spontaneous secondary disease. 15 Mortality from pneumomediastinum is mostly related to the underlying etiology and treatment is usually geared toward associated pneumothoraces.…”

Section: Discussionmentioning

confidence: 99%

A Case Series of Spontaneous Pneumomediastinum With/Without Pneumothorax in COVID-19

Crosby¹,

Abdul²,

Bodo

et al. 2023

Journal of Investigative Medicine High Impact Case Reports

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With the previous worldwide initial coronavirus disease 2019 (COVID-19) pandemic, a notable rise in spontaneous pneumomediastinum with/without pneumothorax (SPP) has been noted. Most cases were initially reported as complications secondary to barotrauma from mechanical ventilation (MV) with COVID-19. However, with the Delta strain, starting from December 2020, there have been multiple reports of SPP. The SPP is an uncommon complication outside use of assisted ventilation with either noninvasive positive pressure ventilation (NIPPV) or MV. COVID-19 has been linked to higher incidence of SPP without use of NIPPV or MV. We present a series of 5 cases with a polymerase chain reaction–confirmed COVID-19 diagnostic testing whose hospital course was complicated by SPP unrelated to the use of either NIPPV or MV.

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Section: Discussionmentioning

confidence: 99%

A Case Series of Spontaneous Pneumomediastinum With/Without Pneumothorax in COVID-19

Crosby¹,

Abdul²,

Bodo

et al. 2023

Journal of Investigative Medicine High Impact Case Reports

View full text Add to dashboard Cite

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“…It should be pointed out that the characterization of these lesions employing AR CT is not always available due to availability in the institutions or because the critical conditions of the patient prevent the transfer, which happened in the first two cases of this article. Subcutaneous emphysema, pneumothorax, and pneumomediastinum should be monitored due to the potential risk of respiratory and cardiovascular complications leading to death if they are not detected and intervened in time (10). It is important to mention that these are not recent entities specific to COVID-19 since they have been described as complications of patients subjected to mechanical ventilation or directly due to other severe pulmonary infectious processes.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumothorax and Pneumomediastinum in COVID 19: Case Series

Molano-Franco¹,

Albert²,

Victor³

et al. 2021

Int. J. Anesthesiol. Res.

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SARS COV2 infection can produce pneumothorax and spontaneous pneumomediastinum complications, which are associated with a worse prognosis. Here we present a series of cases of patients who presented subcutaneous emphysema caused by pneumothorax or spontaneous pneumomediastinum during care in the intensive care unit for pneumonia and COVID 19. This group of patients showed, in all cases, prolonged mechanical ventilation, refractory hypoxemia and hypercapnia, acute renal failure, bacterial superinfection, need for broad-spectrum antibiotics, and vasopressor support. Keywords: Subcutaneous Emphysema, Spontaneous Pneumothorax, Spontaneous Pneumomediastinum, COVID 19

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“…Aunque se desconoce el mecanismo exacto por el que se produce el neumomediastino en la neumonía por SARS-CoV-2 y en principio se considera un cuadro autolimitado que responde favorablemente a medidas terapéuticas conservadoras, debe vigilarse la evolución de estos pacientes por la posibilidad de complicaciones cardiovasculares y respiratorias relacionadas con el neumomediastino potencialmente mortales 6 .…”

Section: Introductionunclassified

Neumomediastino hipertensivo, ¿simulador de tamponade cardiaco? Reporte de caso y revisión de literatura

Hidalgo-Álvarez¹,

Flores-Soto²

2023

RHJM

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El neumomediastino espontáneo se refiere a la presencia de aire en el mediastino sin una causa evidente. Es una condición poco común que ocurre debido a la rotura alveolar como resultado del aumento de la presión intratorácica. Se ve comúnmente en hombres jóvenes, pacientes con trastornos asmáticos conocidos y enfermedades pulmonares. Divulgamos un caso raro de neumomediastino en un varón joven sano sin ninguna patología conocida asociado a neumonía grave por SARS-CoV-2 (COVID-19) que simuló tamponade cardiaco.

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Prise en charge du pneumomédiastin spontané chez l’adulte : à propos de 14 cas avec revue de la littérature

Cited by 8 publications

References 14 publications

A Case Series of Spontaneous Pneumomediastinum With/Without Pneumothorax in COVID-19

A Case Series of Spontaneous Pneumomediastinum With/Without Pneumothorax in COVID-19

Spontaneous Pneumothorax and Pneumomediastinum in COVID 19: Case Series

Neumomediastino hipertensivo, ¿simulador de tamponade cardiaco? Reporte de caso y revisión de literatura

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