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Images in Intensive Medicine
Pneumomediastinum in critically ill adult with COVID-19
Neumomediastino en adultos en estado critico con COVID-19
N. Collercandya,
Autor para correspondencia
nived.collercandy@yahoo.fr

Corresponding author.
, A. Guillona,b
a CHU de Tours, service de médecine intensive réanimation, université de Tours, Tours, France
b INSERM, Centre d’Etude des Pathologies Respiratoires (CEPR), Université de Tours, France
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 77-year-old man was admitted for moderate acute respiratory distress syndrome &#40;ARDS&#41; requiring invasive mechanical ventilation&#44; with PCR confirmed SARS-Cov-2 infection&#46; Protective ventilation strategy included&#58; tidal volume of 6<span class="elsevierStyleHsp" style=""></span>mL&#47;kg &#40;ideal body weight&#41;&#44; Positive End Expiratory Pressure &#40;PEEP&#41; titration with plateau pressure inferior to 28<span class="elsevierStyleHsp" style=""></span>cmH<span class="elsevierStyleInf">2</span>O&#44; neuromuscular blockers&#44; and prone position&#46; At day 5 of ventilation&#44; we observed acute chest and collar subcutaneous emphysema associated with bradycardia at 47<span class="elsevierStyleHsp" style=""></span>bpm&#46; Chest CT scan revealed diffuse pneumomediastinum &#40;white arrows&#41; with diffuse subcutaneous emphysema &#40;black arrows&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; There was no pneumothorax and no evidence for tracheal or esophageal perforation&#46; No intervention was required&#46; Pneumomediastinum are observed in critically ill coronavirus disease 2019 &#40;COVID-19&#41; patients&#46; Whether or not this complication is related to the mechanical ventilation or to the COVID-19 pathogeny <span class="elsevierStyleItalic">per se</span> remains an unanswered question&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
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Información del artículo
ISSN: 02105691
Idioma original: Inglés
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