Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series | ||||
| Ain-Shams Journal of Anesthesiology | ||||
| Volume 14, Issue 1, January 2022 PDF (875.93 K) | ||||
| DOI: 10.1186/s42077-022-00235-0 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Nazia Nazir   ; Anupriya Saxena
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| Abstract | ||||
| Background Pneumomediastinum is a rare complication associated with acute respiratory distress syndrome secondary to other viral pneumonias. However, it has been on a rise in COVID-19 patients with severe disease. Case presentation We present three cases to highlight that isolated pneumomediastinum can complicate the course of illness in patients on non-invasive ventilation. In our case series, two COVID-19 diagnosed cases with no previous history of intubation developed pneumomediastinum. They were managed conservatively with a successful outcome. The third patient developed PM with subcutaneous emphysema post-intubation, although managed conservatively succumbed to the disease. Conclusions Clinicians need to be alert to the development of such a complication in the event of sudden onset dyspnoea with chest pain. Conservative management, with low pressure settings on the ventilator results in gradual improvement of patient. | ||||
| Keywords | ||||
| COVID; cough; Non-Invasive Ventilation; Pneumomediastinum | ||||
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