Pneumomediastinum in COVID-19 patients: a case series of a rare complication.

Volpi, Sara; Ali, Jason M; Suleman, Alishah; Ahmed, Rahim Nadeem

Volpi, Sara; Ali, Jason M; Suleman, Alishah; Ahmed, Rahim Nadeem.

Volpi S; Department of Anaesthesia and Intensive Care, Croydon University Hospital, London, UK.
Ali JM; Department of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, UK.
Suleman A; Department of Anaesthesia and Intensive Care, Croydon University Hospital, London, UK.
Ahmed RN; Department of Anaesthesia and Intensive Care, Croydon University Hospital, London, UK.

Eur J Cardiothorac Surg ; 58(3): 646-647, 2020 09 01.

Article in English | MEDLINE | ID: covidwho-694782

ABSTRACT

ABSTRACT

Pneumomediastinum is a rare clinical finding, but one which can be the source of significant concern for clinicians. By presenting 3 such cases, we highlight that pneumomediastinum can complicate the course of a severe coronavirus disease 2019 infection but emphasize that conservative management is the first-line method of treatment, with gradual resorption of the air from the tissues. It is important to be alert to the development of pneumothorax, which will require drainage.

Subject(s)

Conservative Treatment; Coronavirus Infections/complications; Disease Progression; Mediastinal Emphysema/etiology; Mediastinal Emphysema/therapy; Pneumonia, Viral/complications; Aged; Anti-Bacterial Agents/therapeutic use; Blood Gas Analysis; COVID-19; COVID-19 Testing; Clinical Laboratory Techniques/methods; Continuous Positive Airway Pressure/methods; Coronavirus Infections/diagnosis; Follow-Up Studies; Humans; Male; Mediastinal Emphysema/diagnostic imaging; Middle Aged; Pandemics; Pneumonia, Viral/diagnosis; Radiography, Thoracic/methods; Rare Diseases; Risk Assessment; Sampling Studies; Time Factors; Tomography, X-Ray Computed/methods; Treatment Outcome

Keywords

Coronavirus disease 2019; Mediastinal emphysema; Pneumomediastinum

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Disease Progression / Conservative Treatment / Mediastinal Emphysema Type of study: Cohort study / Diagnostic study / Prognostic study Topics: Long Covid Limits: Aged / Humans / Male / Middle aged Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: Ejcts

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