Mediastinal Pigtail Catheterization for Treatment of Pneumomediastinum in a COVID-19 Patient: A Case Report
Respiratory Case Reports
; 12(1):11-14, 2023.
Article
in English
| EMBASE | ID: covidwho-2291454
ABSTRACT
Spontaneous pneumomediastinum (SPM) is a decisive complication reported to be associated with COVID-19. Here, we present a case of SPM in a COVID-19positive patient that was not caused by any iatrogenic or known reasons. At the time of admission, the patient was COVID-positive and distressed. He was immediately subjected to hematological and radiological investigations (chest X-ray, HRCT), which confirmed pneumomediastinum. The patient was hypoxic and hypotensive even after receiving ionotropic support. Considering the patient's critical condition, a mediastinal pigtail catheterization was performed instead of a thoracotomy, and the catheter was in situ for nine days. Arterial blood gas was monitored during the hospital stay, and supplementary oxygen therapy was provided accordingly. The patient subsequently recovered and was discharged. Hence, SPM in this COVID patient was treated by pigtail catheterization, and major surgical interventions were avoided.Copyright © 2023 LookUs Scientific. All rights reserved.
covid-1; mediastinal pigtail catheterization; Spontaneous pneumomediastinum; adult; arterial gas; article; Asian; blood examination; breathing exercise; case report; clinical article; coronavirus disease 2019/dt [Drug Therapy]; coronavirus disease 2019/pc [Prevention]; coughing; cycle threshold value; decreased appetite; dyspnea; erythrocyte count; glucose blood level; hospital readmission; hospitalization; human; hypotension; hypoxia; leukocyte count; liver function test; lung consolidation; lymphocyte count; male; neutrophil count; oxygen therapy; physiotherapy; pneumomediastinum/dt [Drug Therapy]; pneumomediastinum/th [Therapy]; pneumothorax; real time reverse transcription polymerase chain reaction; reticular opacity; subcutaneous emphysema; urea blood level; urea nitrogen blood level; weakness; worker; alanine aminotransferase/ec [Endogenous Compound]; analgesic agent/dt [Drug Therapy]; antacid agent/dt [Drug Therapy]; antibiotic agent/dt [Drug Therapy]; antithrombocytic agent/dt [Drug Therapy]; antivirus agent/dt [Drug Therapy]; aspartate aminotransferase/ec [Endogenous Compound]; bilirubin/ec [Endogenous Compound]; C reactive protein/ec [Endogenous Compound]; insulin; interleukin 6/ec [Endogenous Compound]; multivitamin; SARS-CoV-2 vaccine/dt [Drug Therapy]; drainage catheter
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Case report
Language:
English
Journal:
Respiratory Case Reports
Year:
2023
Document Type:
Article
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