Tension pneumomediastinum: A literal form of chest tightness-Reference-Cited by-同舟云学术

Tension pneumomediastinum: A literal form of chest tightness

Published:2016-08-11 Issue:1 Volume:18 Page:52-56
ISSN:1751-1437
Container-title:Journal of the Intensive Care Society
language:en
Short-container-title:Journal of the Intensive Care Society

Author:

Clancy David J¹,Lane Andrew S²,Flynn Peter W³,Seppelt Ian M¹

Affiliation:

1. Nepean Blue Mountains Local Health District, Derby St, Penrith, NSW, Australia

2. Sydney Medical School, Derby St, Kingswood, Sydney, NSW, Australia

3. Nepean Hospital, Derby St, Penrith, NSW, Australia

Abstract

Tension pneumomediastinum is a rare and life-threatening complication of mediastinal emphysema which can occur with mechanical ventilation. We present a case of tension mediastinum associated with mechanical ventilation in a patient with Acute Respiratory Distress Syndrome due to Pneumocystis jirovecii pneumonia. We discuss the mechanism and pathophysiology of tension pneumomediastinum, the potential association with Pneumocystis jirovecii pneumonia and recruitment manouvres, and its definitive emergency treatment.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care

Link

http://journals.sagepub.com/doi/pdf/10.1177/1751143716662665

Reference10 articles.

1. MALIGNANT INTERSTITIAL EMPHYSEMA OF THE LUNGS AND MEDIASTINUM AS AN IMPORTANT OCCULT COMPLICATION IN MANY RESPIRATORY DISEASES AND OTHER CONDITIONS

2. Barotrauma-associated posterior tension pneumomediastinum, a rare cause of cardiac tamponade in a ventilated neonate: a case report and review of the literature

3. Lung cysts associated with Pneumocystis carinii pneumonia: radiographic characteristics, natural history, and complications.

4. The Earth-Heart sign: a new diagnostic finding in a patient with tension pneumomediastinum

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