Tension Pneumomediastinum : a life-threatening condition in patients with COVID-19
Joint Authors
Muhammad, Ahmad S.
al-Amiri, Jamal
Shahin, Muhsin
Abd al-Jawad, Wail I.
Prabhakaran, Sujith
al-Wraidat, Muhammad
al-Khatib, Muhammad Y.
Nashwan, Abd al-Qadir J.
Shaikh, Nissar
Source
Issue
Vol. 2021, Issue 3 (31 Dec. 2021), pp.1-8, 8 p.
Publisher
Publication Date
2021-12-31
Country of Publication
Qatar
No. of Pages
8
Main Subjects
Abstract EN
Tension pneumomediastinum (TPM) is a rare but potentially fatal clinical entity.
TPM leads to the leakage of air into the mediastinal cavity and increased pressure in thoracic vessels, respiratory tract, and the heart.
Herein, this report presents a series of five cases of coronavirus disease-2019 (COVID-19) that caused acute respiratory distress syndrome (ARDS) and TPM.
All patients were male who had severe ARDS with a secondary lung infection that required invasive ventilation and had moderate positive-end expiratory pressure.
All patients required vasopressors to maintain hemodynamics, and two patients needed decompression with chest drains.
One patient received extracorporeal membrane oxygenation therapy.
Three patients had cardiac arrest, and two patients died; thus, the mortality rate was 40%.
Patients with COVID-19 pneumonia with ARDS required invasive ventilation and prone positioning.
Secondary lung infection can cause TPM, and TPM may cause cardiac arrest.
Management should be prompt recognition and decompression with the insertion of drains, and conservative treatment is required in stable cases.
Protocols for the manage ment of pneumomediastinum and TPM may enable early detection, earlier management, and prevention of TPM.
American Psychological Association (APA)
Shaikh, Nissar& al-Amiri, Jamal& Shahin, Muhsin& Abd al-Jawad, Wail I.& Prabhakaran, Sujith& al-Wraidat, Muhammad…[et al.]. 2021. Tension Pneumomediastinum : a life-threatening condition in patients with COVID-19. Qatar Medical Journal،Vol. 2021, no. 3, pp.1-8.
https://search.emarefa.net/detail/BIM-1431373
Modern Language Association (MLA)
Shaikh, Nissar…[et al.]. Tension Pneumomediastinum : a life-threatening condition in patients with COVID-19. Qatar Medical Journal No. 3 (2021), pp.1-8.
https://search.emarefa.net/detail/BIM-1431373
American Medical Association (AMA)
Shaikh, Nissar& al-Amiri, Jamal& Shahin, Muhsin& Abd al-Jawad, Wail I.& Prabhakaran, Sujith& al-Wraidat, Muhammad…[et al.]. Tension Pneumomediastinum : a life-threatening condition in patients with COVID-19. Qatar Medical Journal. 2021. Vol. 2021, no. 3, pp.1-8.
https://search.emarefa.net/detail/BIM-1431373
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 8
Record ID
BIM-1431373