Pneumomediastinum following intubation in COVID-19 patients: a case series.

Abstract:

:The number of patients requiring tracheal intubation rose dramatically in March and April 2020 with the COVID-19 outbreak. Our thoracic surgery department has seen an increased incidence of severe pneumomediastinum referred for surgical opinion in intubated patients with COVID-19 pneumonitis. Here we present a series of five patients with severe pneumomediastinum requiring decompression therapy over a 7-day period in the current COVID-19 outbreak. We hypothesise that the mechanism for this is the aggressive disease pathophysiology with an increased risk of alveolar damage and tracheobronchial injury, along with the use of larger-bore tracheal tubes and higher ventilation pressures. We present this case series in order to highlight the increased risk of this potentially life-threatening complication among the COVID-19 patient cohort and offer guidance for its management to critical care physicians.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Wali A,Rizzo V,Bille A,Routledge T,Chambers AJ

doi

10.1111/anae.15113

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

1076-1081

issue

8

eissn

0003-2409

issn

1365-2044

journal_volume

75

pub_type

杂志文章
  • The design and evaluation of a novel low-cost portable ventilator.

    abstract::Modern mechanical ventilator technologies broadly consist of digitally-controlled electronic devices and analogue systems driven by compressed gas sources. Drawbacks such as high cost, complex maintenance and the need for cumbersome sources of compressed driving gas hinder adoption in pre-hospital and low-resource env...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14726

    authors: Darwood A,McCanny J,Kwasnicki R,Martin B,Jones P

    更新日期:2019-11-01 00:00:00

  • A control-free ventilator alarm.

    abstract::An alarm for use with positive-pressure lung ventilators is described. The device gives audible warning if the pressure in the patient circuit fails either to exceed or to fall below 15 cmH2O within a period of 20 seconds or if the batteries are running low. No external controls are provided and the alarm is activated...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb09969.x

    authors: Fodor I,Bloomfield D,Fisher A,Kerr JH

    更新日期:1977-11-01 00:00:00

  • Effect of premedication on the induction dose of thiopentone in children.

    abstract::The effective dose of thiopentone in 90% ( ED90 ) of unpremedicated children is 10.5 mg/kg. This is significantly greater (p less than 0.01) than in premedicated children. The ED90 in children premedicated with TDP (a mixture of trimeprazine , droperidol and physeptone with atropine) is 4.2 mg/kg which is significantl...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1984.tb07309.x

    authors: Duncan BB,Zaimi F,Newman GB,Jenkins JG,Aveling W

    更新日期:1984-05-01 00:00:00

  • Application of MVBC equation to predict mixed venous blood concentrations of sevoflurane in cardiac anaesthesia.

    abstract::We have proposed an equation for estimating the real-time mixed venous blood concentration (MVBC) of isoflurane in cardiac anaesthesia. However, information related to the application of our method to sevoflurane is lacking. We studied 12 patients undergoing cardiac surgery and anaesthetised with sevoflurane. At diffe...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2005.04280.x

    authors: Ho WM,Hung WT,Wu CC,Shen CH,Yang NC,Hwang KL,Wong KC

    更新日期:2005-09-01 00:00:00

  • Entonox analgesia--a method of reducing the delay between demand and supply.

    abstract::Mothers in labour using a self-administered 50% N2O and 50% O2 (Entonox) demand system, experience a time lag between making a demand at the onset of a contraction and pain relief. A practical method is described of reducing this time lag by supplementing the intermittent supply from the demand valve system with a con...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb10008.x

    authors: Willis BA,Rosen M

    更新日期:1977-06-01 00:00:00

  • Effects of nitrous oxide on liver haemodynamics and oxygen consumption in the greyhound.

    abstract::The effects of increasing concentrations of nitrous oxide 30, 50 and 70% on the hepatic circulation and hepatic oxygen consumption were investigated in seven normocapnic greyhounds. Hepatic arterial and portal venous blood flows were measured continuously using electromagnetic flow probes, and mean arterial pressure a...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1982.tb01225.x

    authors: Thomson IA,Hughes RL,Fitch W,Campbell D

    更新日期:1982-05-01 00:00:00

  • Ultrasound-guided fascial plane blocks of the chest wall: a state-of-the-art review.

    abstract::Ultrasound-guided fascial plane blocks of the chest wall are increasingly popular alternatives to established techniques such as thoracic epidural or paravertebral blockade, as they are simple to perform and have an appealing safety profile. Many different techniques have been described, which can be broadly categoris...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.15276

    authors: Chin KJ,Versyck B,Pawa A

    更新日期:2021-01-01 00:00:00

  • Anaesthesia in a patient with Noonan's syndrome and cardiomyopathy.

    abstract::A 5-year-old girl with Noonan's syndrome and a hypertrophic cardiomyopathy presented for myelography and subsequently, laminectomy. The anaesthetic management of the patient is described and the potential problems of the facial, cardiovascular and skeletal abnormalities associated with the condition are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02010.x

    authors: Campbell AM,Bousfield JD

    更新日期:1992-02-01 00:00:00

  • Plasma morphine levels produced by continuous infusion in children.

    abstract::Blood samples were taken from six children aged between 10 months and 15 years, at intervals over a period of 40 hours while they were receiving continuous morphine infusions. The plasma morphine values obtained showed similar and consistent levels 15-30 minutes after starting the infusions. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12847.x

    authors: Bray RJ,Beeton C,Hinton W,Seviour JA

    更新日期:1986-07-01 00:00:00

  • Pulmonary arterio-venous fistula. A shunt equation exercise during thoracotomy.

    abstract::A report is given of a patient with multiple bilateral pulmonary arterio-venous fistulae who underwent right thoracotomy for this condition. Blood-gas studies before and during surgery showed that the arterio-venous oxygen content differences of 1-16-1-34 mmol/l were less than normal, and the calculated venous admixtu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb10081.x

    authors: Purcell GR,Manners JM,Cockburn JS

    更新日期:1977-09-01 00:00:00

  • Assessment of the Ventrix parenchymal intracranial pressure monitoring probe (NL950-P) and Monitor (NL950-100) in a 3 Tesla magnetic resonance scanner.

    abstract::Magnetic resonance (MR) imaging and spectroscopy provide important information in patients with acute head injury. However, optimal patient management requires intracranial pressure (ICP) monitoring. There are few reports on the use of ICP sensors in an MR environment. We tested the Ventrix parenchymal intracranial pr...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.02966.x

    authors: Coles JP,Steiner LA,Martin J,Donovan T,Hutchinson PJ,Carpenter TA,Menon DK

    更新日期:2003-02-01 00:00:00

  • Effect of cricoid pressure on the incidence of nausea and vomiting in the immediate postoperative period.

    abstract::This study aimed to evaluate whether the application of cricoid pressure at the time of induction of anaesthesia was associated with a lesser incidence of postoperative nausea or vomiting in the immediate postoperative period compared with a group in which no cricoid pressure was applied, in patients undergoing day ca...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2000.055002163.x

    authors: Khan FA,ul Haq A

    更新日期:2000-02-01 00:00:00

  • Aspiration pneumonia and the laryngeal mask airway.

    abstract::A case of aspiration pneumonia is reported after the use of a laryngeal mask airway in a young woman undergoing an elective cholecystectomy. The case illustrates the hazards of regurgitation with the laryngeal mask airway and the need for further evaluation when used with controlled mechanical ventilation. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14882.x

    authors: Griffin RM,Hatcher IS

    更新日期:1990-12-01 00:00:00

  • The effect of propofol on patient reaction time and its relationship with loss of verbal contact before induction of anaesthesia.

    abstract::Increasing the calculated plasma concentration of propofol has been shown to increase choice reaction time and visual and auditory response times. We studied the relationship of reaction to a vibrating handset as the effect-site target-controlled propofol concentration was incrementally increased in 20 patients during...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12035

    authors: Anderson KJ,Allam S,Chapman R,Kenny GN

    更新日期:2013-02-01 00:00:00

  • A study into the incidence of methaemoglobinaemia after 'three-in-one' block with prilocaine.

    abstract::A 34-year-old female patient developed methaemoglobinaemia following a femoral nerve block using prilocaine. The concentrations of methaemoglobin in the blood of the next eight patients receiving this block were assayed, and found to be significantly increased above baseline concentrations, but very significantly less...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb04212.x

    authors: Bellamy MC,Hopkins PM,Halsall PJ,Ellis FR

    更新日期:1992-12-01 00:00:00

  • A new colorimetric breath indicator (Colibri). A comparison of the performance of two carbon dioxide indicators.

    abstract::Colorimetric carbon dioxide indicators are designed for the verification of satisfactory tracheal tube placement. However, widespread use of the device in this and other applications is hampered by limitations in its performance characteristics. A new colorimetric breath indicator (Colibri) has been developed that ove...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Gedeon A,Krill P,Mebius C

    更新日期:1994-09-01 00:00:00

  • A national survey of obstetric early warning systems in the United Kingdom: five years on.

    abstract::The Confidential Enquiries into Maternal Deaths in the UK have recommended obstetric early warning systems for early identification of clinical deterioration to reduce maternal morbidity and mortality. This survey explored early warning systems currently used by maternity units in the UK. An electronic questionnaire w...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12708

    authors: Isaacs RA,Wee MY,Bick DE,Beake S,Sheppard ZA,Thomas S,Hundley V,Smith GB,van Teijlingen E,Thomas PW,Members of the Modified Obstetric Early Warning Systems Research Group.

    更新日期:2014-07-01 00:00:00

  • Peri-operative management of an adult patient with type 2N von Willebrand's disease scheduled for coronary artery bypass graft.

    abstract::We describe a patient with type 2N von Willebrand's disease scheduled for elective coronary artery bypass graft for severe three-vessel coronary artery disease with involvement of the left main stem. He was given a pre-operative bolus of 3000 IU factor VIII/Willebrand factor concentrate (approximately 40 IU.kg(-1)), f...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05001.x

    authors: Gerling V,Lahpor JR,Buhre W

    更新日期:2007-04-01 00:00:00

  • Treatment of severe accidental hypothermia using the Clinitron bed.

    abstract::Two cases of severe accidental hypothermia (core temperature less than 28 degrees C) rewarmed employing the Clinitron system are described. The physiological changes during hypothermia and rewarming are discussed and the current concepts of rewarming (active external versus internal) outlined. It is suggested that sev...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb03985.x

    authors: Miles JM,Thompson GR

    更新日期:1987-04-01 00:00:00

  • Increased formation of sister chromatid exchanges, but not of micronuclei, in anaesthetists exposed to low levels of sevoflurane.

    abstract::We have assessed, for the first time, genotoxicity (i.e. sister chromatid exchanges and micronuclei) in anaesthetists exposed to a single volatile anaesthetic (sevoflurane) without nitrous oxide. The anaesthetists were exposed to an 8-h time-weighted average of 0.2 parts per million sevoflurane. Internists served as n...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2008.05498.x

    authors: Wiesner G,Schiewe-Langgartner F,Lindner R,Gruber M

    更新日期:2008-08-01 00:00:00

  • The loss of sevoflurane from a closed breathing system.

    abstract::When volatile anaesthetics are used in a closed breathing system it is usually assumed that inflow of anaesthetic to the system matches uptake by the patient. Early laboratory reports on the interactions between sevoflurane and soda lime cast doubt on that assumption. We have measured the loss of sevoflurane, desflura...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.135-az0135.x

    authors: Vagts DA,Lockwood GG

    更新日期:1997-07-01 00:00:00

  • Ideal versus corrected body weight for dosage of sugammadex in morbidly obese patients.

    abstract::To date, the dosing of sugammadex is based on real body weight without taking fat content into account. We compared the reversal of profound rocuronium-induced neuromuscular blockade in morbidly obese patients using doses of sugammadex based on four different weight corrections. One hundred morbidly obese patients, sc...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2011.06782.x

    authors: Van Lancker P,Dillemans B,Bogaert T,Mulier JP,De Kock M,Haspeslagh M

    更新日期:2011-08-01 00:00:00

  • Attitudes to oral feeding following caesarean section.

    abstract::In order to evaluate postoperative nutrition in women who have undergone Caesarean section, we conducted a national survey. Questionnaires were sent to 100 randomly selected obstetric units in the UK, and were completed and returned by senior midwives. We found that that only 21.5% of units had a departmental policy c...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.00740.x

    authors: Worthington LM,Mulcahy AJ,White S,Flynn PJ

    更新日期:1999-03-01 00:00:00

  • Evaluation of a novel Surgicric® cricothyroidotomy device for emergency tracheal access in a porcine model.

    abstract::A can't intubate, can't ventilate scenario can result in morbidity and death. Although a rare occurrence (1:50 000 general anaesthetics), it is crucial that anaesthetists maintain the skills necessary to perform cricothyroidotomy, and are well-equipped with appropriate tools. We undertook a bench study comparing a new...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13275

    authors: King W,Teare J,Vandrevala T,Cartwright S,Mohammed KB,Patel B

    更新日期:2016-02-01 00:00:00

  • Effect of different surgical positions on the cerebral venous drainage: a pilot study using healthy volunteers.

    abstract::Excessive neck flexion and rotation in certain surgical positions may cause kinking of the internal jugular vein that obstructs cerebral venous blood flow and results in elevated intracranial pressure. The objective of this study was to measure internal jugular vein flow and identify potential impediments to venous fl...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13494

    authors: Yeoh TY,Tan A,Manninen P,Chan VW,Venkatraghavan L

    更新日期:2016-07-01 00:00:00

  • The Alcock chloroform vaporizer. An early calibrated temperature-compensated plenum apparatus in its historical context.

    abstract::A long-forgotten chloroform inhaler, probably the first accurately calibrated, temperature compensatable, plenum vaporizer, is described. Its place in the dosimetric movement at the beginning of the 20th century is considered, together with a brief account of the life of its designer. ...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1365-2044.1988.tb05667.x

    authors: Zuck D

    更新日期:1988-11-01 00:00:00

  • Oxytocin at elective caesarean delivery: a dose-finding study in women with obesity.

    abstract::Prophylactic oxytocin administration at the third stage of labour reduces blood loss and the need for additional uterotonic drugs. Obesity is known to be associated with an increased risk of uterine atony and postpartum haemorrhage. It is unknown whether women with obesity require higher doses of oxytocin in order to ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15322

    authors: Peska E,Balki M,Maxwell C,Ye XY,Downey K,Carvalho JCA

    更新日期:2020-11-23 00:00:00

  • A comparison of droperidol and cyclizine in the prevention of postoperative nausea and vomiting associated with patient-controlled analgesia.

    abstract::Fifty ASA 1 or 2 patients scheduled to undergo major gynaecological surgery were allocated randomly to one of two groups. All patients received a standard anaesthetic regimen. Patients in group 1 received droperidol 1.25 mg given intravenously 20 min prior to the end of surgery and a patient-controlled analgesia infus...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1995.tb15124.x

    authors: Walder AD,Aitkenhead AR

    更新日期:1995-07-01 00:00:00

  • Environmental contamination during tracheal suction. A comparison of disposable conventional catheters with a multiple-use closed system device.

    abstract::The extent of airborne environmental bacterial contamination which occurs following tracheal suction has been investigated in patients undergoing intermittent positive pressure ventilation in the intensive therapy unit. Two methods of performing suction, one using a conventional open technique and one using a closed s...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09858.x

    authors: Cobley M,Atkins M,Jones PL

    更新日期:1991-11-01 00:00:00

  • A comparison of low vs conventional-dose heparin for minimal cardiopulmonary bypass in coronary artery bypass grafting surgery.

    abstract::The biocompatibility of minimal extracorporeal circuits has improved; however, anticoagulation is still required. We compared standard high-dose anticoagulation with a low-dose heparin regimen in a retrospective study of patients who underwent coronary bypass surgery using minimal cardiopulmonary bypass. One hundred p...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06709.x

    authors: Fromes Y,Daghildjian K,Caumartin L,Fischer M,Rouquette I,Deleuze P,Bical OM

    更新日期:2011-06-01 00:00:00