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The Macklin Effect Following Trauma: A Case Report of Concurrent Pneumothorax, Pneumoperitoneum, Pneumomediastinum, and Pneumoretroperitoneum in an Intubated Young Adult.
Cureus
December 2024
Department of Trauma Surgery, King Saud Medical City, Riyadh, SAU.
Pneumomediastinum, often a silent yet disruptive force in the context of trauma, complicates clinical decision-making, particularly when it is accompanied by pneumothorax, pneumoperitoneum, and pneumoretroperitoneum. The Macklin effect, where air dissects along tissue planes following alveolar rupture, frequently underpins these findings, adding layers to the diagnostic puzzle. In this case, an 18-year-old male involved in a high-speed vehicle collision was transferred to our trauma center intubated and sedated.
View Article and Find Full Text PDFSevere bilateral subcutaneous emphysema after prophylactic treatment: a case report.
J Dent Anesth Pain Med
December 2024
Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
Subcutaneous emphysema is the accumulation of gas or air in loose subcutaneous connective tissue. The use of air-driven handpieces in dental procedures is a common iatrogenic cause of intraoral mucogingival barrier disruption by high-pressure air. This case report describes a 60-year-old woman who underwent prophylactic periodontal treatment with an air-abrasive device and subsequently developed severe bilateral subcutaneous emphysema, extending from the temporal region to the thoracic and mediastinal spaces.
View Article and Find Full Text PDF[Emergency Surgery for Iatrogenic Injury to the Trachea During Emergency Tracheal Intubation].
Kyobu Geka
October 2024
Department of General Thoracic Surgery, Respiratory Center, Gifu University, Gifu, Japan.
An 86-year-old woman lost consciousness at home. Tracheal intubation was performed in the ambulance during transport to our hospital. Computed tomography (CT) showed right putaminal hemorrhage in her brain, right pneumothorax, and mediastinal emphysema.
View Article and Find Full Text PDFUltrasound-guided transbronchial cryobiopsy of mediastinal and hilar lesions: a multicenter pragmatic cohort study with real-world evidence.
BMJ Open Respir Res
December 2024
Department of Pulmonology, University Hospital Zurich, Zurich, Switzerland
Background: Limited data exist on the reliability, efficacy and safety of ultrasound-guided transbronchial cryobiopsy for suspicious mediastinal and hilar lesions. This study shares findings from implementing this method and compares the results with those of the standard endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).
Methods: Patients undergoing diagnostic bronchoscopy for mediastinal or hilar lesions in four Swiss centres were included.
Perinatal risk factors and outcomes of pulmonary air leak in very-low-birth-weight preterm infants: A multicenter registry study in Taiwan.
Pediatr Neonatol
November 2024
Premature Baby Foundation of Taiwan, Taipei, Taiwan.
Background: Pulmonary air leak may cause serious complications and mortality in neonates, especially preterm infants. Its incidence and perinatal risk factors in preterm infants might differ from those in term infants. We investigated the incidence, perinatal risk factors and morbidities associated with pulmonary air leak in very-low-birth-weight (VLBW) preterm infants in Taiwan.
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