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Massive pneumomediastinum following orotracheal intubation in an emergency setting

Journal: Journal of Clinical Images and Medical Case Reports (Vol.2, No. 6)

Publication Date:

Authors : ; ; ;

Page : 1-1

Keywords : orotracheal intubation; Massive pneumomediastinum;

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We admitted in our intensive care unit, a 34-year old, Female patient from the emergency room, with a hypothesis of COVID-19 disease, who was intubated before transportation due to hypoxemic respiratory insufficiency. In physical examination the patient showed a massive subcutaneous emphysema. A computed tomography confirmed the hypothesis of pneumomediastinum/pneumothorax (Figure 1A). Refractory hypoxemia issued despite optimized mechanical ventilation, so we opted to submit the patient to Extracorporeal Membrane Oxygenation (ECMO). A diagnostic bronchoscopy showed an important laceration of the trachea (Figure 1B, black arrow, and Figure 1C), near the carina. Despite rare, tracheal lesion after intubation may have a dramatic outcome.

Last modified: 2021-12-13 11:36:35