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.
Nazir, N., & Saxena, A. (2022). Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series. Ain-Shams Journal of Anesthesiology, 14(1), -. doi: 10.1186/s42077-022-00235-0
MLA
Nazia Nazir; Anupriya Saxena. "Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series", Ain-Shams Journal of Anesthesiology, 14, 1, 2022, -. doi: 10.1186/s42077-022-00235-0
HARVARD
Nazir, N., Saxena, A. (2022). 'Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series', Ain-Shams Journal of Anesthesiology, 14(1), pp. -. doi: 10.1186/s42077-022-00235-0
VANCOUVER
Nazir, N., Saxena, A. Isolated pneumomediastinum in severe category COVID-19 patients admitted in ICU: a case series. Ain-Shams Journal of Anesthesiology, 2022; 14(1): -. doi: 10.1186/s42077-022-00235-0
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