Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency management
Abstract Pneumomediastinum can be primary (spontaneous) or secondary to iatrogenic, traumatic, and non‐traumatic causes. The incidence of spontaneous and secondary pneumomediastinum is higher in patients with coronavirus disease 2019 (COVID‐19) compared to the general population. So, pneumomediastin...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Online Access: | https://doi.org/10.1002/emp2.12935 |
| _version_ | 1797843463552630784 |
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| author | Ezhilkugan Ganessane Anandhi Devendiran Swetha Ramesh Amaravathi Uthayakumar Vinodha Chandrasekar Anuusha Subathra Sadasivam Balamurugan Nathan Manu Ayyan |
| author_facet | Ezhilkugan Ganessane Anandhi Devendiran Swetha Ramesh Amaravathi Uthayakumar Vinodha Chandrasekar Anuusha Subathra Sadasivam Balamurugan Nathan Manu Ayyan |
| author_sort | Ezhilkugan Ganessane |
| collection | DOAJ |
| description | Abstract Pneumomediastinum can be primary (spontaneous) or secondary to iatrogenic, traumatic, and non‐traumatic causes. The incidence of spontaneous and secondary pneumomediastinum is higher in patients with coronavirus disease 2019 (COVID‐19) compared to the general population. So, pneumomediastinum should be considered in the differential diagnosis of any patient with COVID‐19 presenting with chest pain and breathlessness. A high level of suspicion is required to diagnose this condition promptly. Unlike in other disease conditions, pneumomediastinum in COVID‐19 has a complicated course with higher mortality in intubated patients. No guidelines exist for managing pneumomediastinum patients with COVID‐19. Therefore, emergency physicians should be aware of the various treatment modalities besides conservative management for pneumomediastinum and life‐saving interventions for tension pneumomediastinum. |
| first_indexed | 2024-04-09T17:05:39Z |
| format | Article |
| id | doaj.art-b39647e989bd4de2beffe956c00e8eda |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-04-09T17:05:39Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-b39647e989bd4de2beffe956c00e8eda2023-04-20T18:18:31ZengWileyJournal of the American College of Emergency Physicians Open2688-11522023-04-0142n/an/a10.1002/emp2.12935Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency managementEzhilkugan Ganessane0Anandhi Devendiran1Swetha Ramesh2Amaravathi Uthayakumar3Vinodha Chandrasekar4Anuusha Subathra Sadasivam5Balamurugan Nathan6Manu Ayyan7Department of Emergency Medicine JIPMER Puducherry IndiaDepartment of Emergency Medicine JIPMER Puducherry IndiaDepartment of Emergency Medicine JIPMER Puducherry IndiaDepartment of Emergency Medicine JIPMER Puducherry IndiaDepartment of Emergency Medicine JIPMER Puducherry IndiaDepartment of Emergency Medicine JIPMER Puducherry IndiaDepartment of Emergency Medicine JIPMER Puducherry IndiaDepartment of Emergency Medicine JIPMER Puducherry IndiaAbstract Pneumomediastinum can be primary (spontaneous) or secondary to iatrogenic, traumatic, and non‐traumatic causes. The incidence of spontaneous and secondary pneumomediastinum is higher in patients with coronavirus disease 2019 (COVID‐19) compared to the general population. So, pneumomediastinum should be considered in the differential diagnosis of any patient with COVID‐19 presenting with chest pain and breathlessness. A high level of suspicion is required to diagnose this condition promptly. Unlike in other disease conditions, pneumomediastinum in COVID‐19 has a complicated course with higher mortality in intubated patients. No guidelines exist for managing pneumomediastinum patients with COVID‐19. Therefore, emergency physicians should be aware of the various treatment modalities besides conservative management for pneumomediastinum and life‐saving interventions for tension pneumomediastinum.https://doi.org/10.1002/emp2.12935 |
| spellingShingle | Ezhilkugan Ganessane Anandhi Devendiran Swetha Ramesh Amaravathi Uthayakumar Vinodha Chandrasekar Anuusha Subathra Sadasivam Balamurugan Nathan Manu Ayyan Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency management Journal of the American College of Emergency Physicians Open |
| title | Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency management |
| title_full | Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency management |
| title_fullStr | Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency management |
| title_full_unstemmed | Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency management |
| title_short | Pneumomediastinum in COVID‐19 disease: Clinical review with emphasis on emergency management |
| title_sort | pneumomediastinum in covid 19 disease clinical review with emphasis on emergency management |
| url | https://doi.org/10.1002/emp2.12935 |
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