https://doi.org/10.4081/monaldi.2020.1399
Spontaneous pneumomediastinum in COVID-19 pneumonia
Submitted: May 22, 2020
Accepted: September 7, 2020
Published: September 29, 2020
Accepted: September 7, 2020
Abstract Views: 3365
PDF: 1326
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Spontaneous pneumomediastinum is a benign entity but can worsen the underlying condition with which it is associated. We evaluated the incidence and the clinical relevance of spontaneous pneumomediastinum in a consecutive series of 102 patients with COVID-19 pneumonia. Six cases of pneumomediastinum were identified by high-resolution chest CT-scan. Three patients required early intubation, and one of them died, while in in the remaining subjects the clinical course was benign. The presence of pneumomediastinum required some changes in the management of mechanical ventilation. In conclusion, spontaneous pneumomediastinum is a possible complication of severe COVID-19 pneumonia that can affect patient management and clinical outcomes.
Ethics Approval
The study was approved by the Ethical Committee of Cremona HospitalHow to Cite
Loffi, Marco, Valentina Regazzoni, Pietro Sergio, Enrico Martinelli, Italo Stifani, Filippo Quinzani, Debora Robba, Annunziata Cotugno, Meghi Dede, and Gian Battista Danzi. 2020. “Spontaneous Pneumomediastinum in COVID-19 Pneumonia”. Monaldi Archives for Chest Disease 90 (4). https://doi.org/10.4081/monaldi.2020.1399.
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