Purpose: Tension pneumomediastinum is a rare and dangerous complication in children that can be fatal, and timely detection and treatment are critical. The aim of this study was to evaluate the safety and feasibility of computed tomography (CT) imaging-guided parasternal approach drainage for tension pneumomediastinum in children.
Methods: From June 2018 to February 2023, we consecutively enrolled 19 children with tension pneumomediastinum in our institution. A pigtail catheter was inserted into the anterior mediastinum by a CT imaging-guided parasternal approach. The catheter was connected to a negative-pressure water seal bottle to drain the pneumomediastinum. Clinical data and outcomes were summarized.
Results: The mean age was 3.1 ± 3.4 years, the mean weight was 15 ± 9.1 kg, the mean procedure time was 11.8 ± 2.4 min, and the drainage time was 6.7 ± 3.4 days. No major complications were identified, such as haemothorax, catheter displacement, or mediastinal infection. Effective drainage was obtained in all patients as assessed by comparing images and ventilatory parameters, and no additional surgical treatment was needed. There was no recurrence during the follow-up, which was more than 2 months. In our data, two children with COVID-19 were discharged from the hospital after effective drainage and other clinical treatment.
Conclusion: CT-guided parasternal approach drainage is safe, minimally invasive, and effective for children with tension pneumomediastinum.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664601 | PMC |
| http://dx.doi.org/10.1186/s12887-023-04417-z | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
CT features of tension neck subcutaneous emphysema (tension pneumocollum).
Diagn Interv Imaging
November 2024
Division of Neuroimaging and Neurointervention, Department of Radiology, Stanford University School of Medicine, Stanford Center for Academic Medicine, Palo Alto, CA 94304, USA. Electronic address:
Pneumothorax during shoulder surgery.
Tidsskr Nor Laegeforen
April 2024
Anestesiavdelingen, Nordlandssykehuset Bodø, og, Institutt for klinisk medisin, Universitet i Oslo, og, Institutt for klinisk medisin, UiT Norges arktiske universitet, og, Fakultet for sykepleie og helsevitenskap, Nord universitet, Bodø.
Background: Pneumothorax following shoulder arthroscopy, although rare, is documented in over 30 PubMed case reports as occurring during or within 10 hours post-procedure.
Case Presentation: A fit septuagenarian underwent a two-hour arthroscopic rotator cuff repair with IV anaesthesia and laryngeal mask airway, without a nerve block. With one hour remaining of the operation, the patient had desaturation and hypotension.
A Case of Tension Pneumomediastinum Treated With Mediastinal Drainage Using a Semi-flexible Fiberscope via a Subxiphoid Approach.
Cureus
March 2024
Respiratory Medicine, Oita Red Cross Hospital, Oita-shi, JPN.
Tension pneumomediastinum with hemodynamic failure is a rare but life-threatening condition. Rapid decompression of the mediastinum by drainage is essential to save the patient's life. This report presents a case of tension pneumomediastinum that developed during conservative management of a pneumomediastinum associated with idiopathic pulmonary fibrosis.
View Article and Find Full Text PDFDifferentiating Giant Bullous Emphysema From Tension Pneumothorax: A Case Report.
Cureus
March 2024
Department of Internal Medicine, North Vista Hospital, Las Vegas, USA.
Giant bullous emphysema (GBE) is a progressive disease that commonly presents with severe progressive dyspnea attributed to the progressive destruction of alveolar walls and the formation of large air pockets, resulting in impaired gas exchange. This presentation is most commonly seen in young, thin male smokers. GBE poses an interesting and unique clinical challenge due to its radiologic findings, which can be easily mistaken for tension pneumothorax.
View Article and Find Full Text PDFTension Pneumomediastinum in Anti-MDA5 Antibody-positive Dermatomyositis-associated Interstitial Lung Disease: A Case Report and Literature Review.
Intern Med
December 2024
Department of Respiratory Medicine, Kumamoto University Hospital, Faculty of Life, Sciences, Kumamoto University, Japan.
Article Synopsis
- Anti-MDA5 antibody-positive dermatomyositis (DM) can lead to interstitial lung disease (ILD) and rare complications like pneumomediastinum, which is the presence of air in the mediastinum.
- A case was reported where a patient with DM-ILD experienced worsening symptoms, including hypotension and respiratory failure during treatment, due to increased subcutaneous and mediastinal emphysema.
- Timely intervention with mediastinal drainage through video-assisted thoracoscopic surgery significantly improved the patient's condition, highlighting the need for quick diagnosis and treatment of these serious complications.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!