Spontaneous Pneumomediastinum in COVID-19: The Macklin Effect?

Sekhon et al examines the case of three healthy adult males who presented with spontaneous pneumomediastinum from coronavirus disease (COVID-19) before the institution of positive pressure ventilation. Chest computed tomography confirmed pneumomediastinum and air tracking along the pulmonary vascula...

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Bibliographic Details
Published inAmerican journal of respiratory and critical care medicine Vol. 204; no. 8; pp. 989 - 990
Main Authors Sekhon, Mypinder S., Thiara, Sharanjit, Kanji, Hussein D., Ronco, Juan J.
Format Journal Article
LanguageEnglish
Published New York American Thoracic Society 15.10.2021
Subjects
COVID-19
Emphysema
Images in Pulmonary, Critical Care, Sleep Medicine and the Sciences
Injuries
Lungs
Severe acute respiratory syndrome coronavirus 2
Tomography
Ventilation
Ventilators
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Summary:Sekhon et al examines the case of three healthy adult males who presented with spontaneous pneumomediastinum from coronavirus disease (COVID-19) before the institution of positive pressure ventilation. Chest computed tomography confirmed pneumomediastinum and air tracking along the pulmonary vasculature. Each patient underwent venovenous extracorporeal membrane oxygenation (VV-ECMO) for optimal lung-protective ventilation to mitigate exacerbation of pneumomediastinum from mechanical ventilation after clinical deterioration. Patients B and C have been liberated from VV-ECMO and discharged, whereas patient A remains on VV-ECMO.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1073-449X
1535-4970
DOI:10.1164/rccm.202105-1179IM