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
Anaesthesiajournal_title
Anaesthesiaauthors
Wali A,Rizzo V,Bille A,Routledge T,Chambers AJdoi
10.1111/anae.15113subject
Has Abstractpub_date
2020-08-01 00:00:00pages
1076-1081issue
8eissn
0003-2409issn
1365-2044journal_volume
75pub_type
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