Neumomediastino en pacientes con COVID-19 ingresados en UCI: serie de casos y revisión de la literatura / [Pneumomediastinum in patients with COVID-19 admitted to the ICU: case series and review of the literature]
Rev. esp. patol. torac
; 34(2): 135-137, 23/06/2022. ilus
Article
in Spanish
| IBECS
| ID: ibc-206180
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
RESUMEN
Tras declaración de pandemia en febrero de 2020, se observa un aumento de casos de neumonías bilaterales con insuficiencia respiratoria grave, complicadas a su vez con neumomediastino. Se describe una serie de cuatro pacientes con neumomediastino asociado a distress respiratorio por neumonía por SARS-CoV-2 ingresados en cuidados intensivos del Hospital Universitario Rey Juan Carlos entre diciembre 2020 y enero 2021. En su mayoría son hombres de mediana edad, sin patología pulmonar previa, no fumadores, que han necesitado ventilación mecánica. El diagnóstico de neumomediastino se ha realizado mediante tomografía computarizada y el tratamiento ha sido conservador, con resolución total en todos los casos. Aunque esta complicación es un indicador de destrucción pulmonar y condiciona cambios en el manejo de la ventilación mecánica, no parece estar directamente relacionada con peor pronóstico o aumento de la mortalidad. (AU)
ABSTRACT
After the declaration of a pandemic in February 2020, an increase in cases of bilateral pneumonia with severe respiratory failure, in turn complicated by pneumomediastinum, has been observed. A series of four patients with pneumomediastinum associated with respiratory distress due to SARS-CoV-2 pneumonia admitted to intensive care at the Rey Juan Carlos University Hospital between December 2020 and January 2021 is described. Most of them are middle-aged men, without previous pulmonary pathology, non- smokers, who have required mechanical ventilation. The diagnosis of pneumomediastinum has been made by computed tomography and the treatment has been conservative, with complete resolution in all cases. Although this complication is an indicator of lung destruction and determines changes in the management of mechanical ventilation, it does not seem to be directly related to a worse prognosis or increased mortality. (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Pneumonia
/
Coronavirus Infections
/
Severe acute respiratory syndrome-related coronavirus
/
Pandemics
/
Middle East Respiratory Syndrome Coronavirus
/
Mediastinal Emphysema
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. esp. patol. torac
Year:
2022
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Rey Juan Carlos/España