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10.1111/anae.15113

http://scihub22266oqcxt.onion/10.1111/anae.15113
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32375200!7267505!32375200
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suck abstract from ncbi


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pmid32375200      Anaesthesia 2020 ; 75 (8): 1076-1081
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  • Pneumomediastinum following intubation in COVID-19 patients: a case series #MMPMID32375200
  • Wali A; Rizzo V; Bille A; Routledge T; Chambers AJ
  • Anaesthesia 2020[Aug]; 75 (8): 1076-1081 PMID32375200show ga
  • 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.
  • |*Betacoronavirus[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/therapy[MESH]
  • |Fatal Outcome[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intubation, Intratracheal/*adverse effects[MESH]
  • |Male[MESH]
  • |Mediastinal Emphysema/diagnostic imaging/*etiology/therapy[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/therapy[MESH]
  • |Prospective Studies[MESH]
  • |Radiography, Thoracic[MESH]
  • |Respiration, Artificial/methods[MESH]
  • |SARS-CoV-2[MESH]
  • |Tomography, X-Ray Computed[MESH]


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