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Global Pediatric Health 2022A preadolescent female presented to the emergency department with an acute asthma exacerbation. Chest radiograph and computed tomography scan showed extensive...
A preadolescent female presented to the emergency department with an acute asthma exacerbation. Chest radiograph and computed tomography scan showed extensive pneumomediastinum with a small pneumopericardium without a distinct source for this air leak. The patient was admitted for noninvasive monitoring, analgesia, and high concentration oxygen. Serial chest radiographs showed marked improvement following high concentration oxygen, and she was discharged on hospital day 3. Spontaneous pneumomediastinum and pneumopericardium are rare complications of asthma that can often be managed conservatively but should be considered on the differential for this patient population, and may be a complication of COVID-19.
PubMed: 35664046
DOI: 10.1177/2333794X221101773 -
Clinical Endoscopy Jan 2022The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the... (Review)
Review
The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the changing needs and demands. The challenges are unique. Complications arising from the procedures are both routine, such as aspiration and hypoxia, and procedure specific, such as bleeding, pneumothorax, pneumopericardium, and pneumoperitoneum. It is crucial for the anesthesia provider to have a good understanding of the techniques employed by the endoscopist. A higher index of suspicion is also essential to diagnose and appropriately manage many of the complications. In this review, an effort is made to discuss both procedural aspects and anesthesia challenges. We hope that both endoscopists and anesthesia providers will benefit from this review.
PubMed: 34974678
DOI: 10.5946/ce.2021.236 -
European Heart Journal Apr 2021
Topics: Humans; Pneumopericardium
PubMed: 33159791
DOI: 10.1093/eurheartj/ehaa692 -
Clinical Case Reports Dec 2021Late-onset chest pain, dysphagia, or endocarditis-like symptoms after atrial fibrillation ablation could be an alarm for fatal complications as Esophagoatrial or...
Late-onset chest pain, dysphagia, or endocarditis-like symptoms after atrial fibrillation ablation could be an alarm for fatal complications as Esophagoatrial or Pericardioesophageal fistula. If the diagnosis is delayed, mortality will be inevitable.
PubMed: 34938539
DOI: 10.1002/ccr3.4844 -
CMAJ : Canadian Medical Association... May 2023
Topics: Humans; Pneumopericardium; Pericardium
PubMed: 37220925
DOI: 10.1503/cmaj.221137-f -
Gastroenterology Dec 2022
Topics: Humans; Colonoscopy; Pneumopericardium
PubMed: 35777479
DOI: 10.1053/j.gastro.2022.06.061 -
Archives of Disease in Childhood. Fetal... Sep 2019
Topics: Humans; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Intensive Care, Neonatal; Male; Pneumopericardium; Radiography, Thoracic; Remission, Spontaneous
PubMed: 31248961
DOI: 10.1136/archdischild-2018-316686 -
Current Cardiology Reports Nov 2023The purpose of this article is to serve as a practical guide to computed tomography (CT)-guided pericardiocentesis and to discuss the role of this approach in current... (Review)
Review
PURPOSE OF REVIEW
The purpose of this article is to serve as a practical guide to computed tomography (CT)-guided pericardiocentesis and to discuss the role of this approach in current clinical practice. An overview of indications, technique, advantages, and limitations specific to CT-guided pericardiocentesis will be provided. The reader will have an enhanced understanding of the use of this imaging modality to guide pericardial drainage.
RECENT FINDINGS
Use of CT guidance to drain the pericardial space is safe, especially when adequate echocardiographic evaluation is precluded and when echocardiography-guided pericardiocentesis is deemed unsafe and or not feasible. Our review and experience indicate that CT-guided pericardiocentesis is technically successful in more than 94% of patients, with a low risk (<1%) of significant complications. CT-guided pericardiocentesis is therefore a viable alternative when echocardiographic guidance is insufficient and can obviate the need for surgery in most patients.
Topics: Humans; Pericardiocentesis; Pericardial Effusion; Echocardiography; Drainage; Tomography, X-Ray Computed
PubMed: 37856032
DOI: 10.1007/s11886-023-01965-9 -
Revista Portuguesa de Cardiologia :... Oct 2022
Topics: Carcinoma, Squamous Cell; Epithelial Cells; Humans; Lung; Lung Neoplasms; Pneumopericardium; Tomography, X-Ray Computed
PubMed: 36150943
DOI: 10.1016/j.repc.2021.09.017