Bedside Mediastinotomy for Tension Pneumomediastinum With Tamponade in COVID-19.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 33529601.
- Also identified by DOI 10.1016/j.athoracsur.2021.01.032 and PMC identifier 8402946.
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Abstract
Tension pneumomediastinum is a rare but life-threatening cause of tamponade. Mechanical ventilation is a described source of tension pneumomediastinum. Here, we present a case of a 72-year-old man who developed cardiovascular collapse from tension pneumomediastinum in the setting of coronavirus disease 2019-related acute respiratory distress syndrome. We successfully performed bedside mediastinotomy and mediastinal tube placement under local anesthetic to alleviate his hemodynamic instability. Bedside mediastinotomy can be used to relieve tension pneumomediastinum in this setting.
Medical subject headings
- COVID-19
- Cardiac Tamponade
- Mediastinal Emphysema
- Mediastinum
- SARS-CoV-2