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* Rare Condition
Spontaneous
Traumatic
Spontaneous
Erosion of a Tracheal Or
Esophageal Tumor
Pneumoperitoneum,
Pneumoretroperitoneum
Traumatic
pulmonary interstitial
emphysema (positive pressure
ventilation)
o alveolar rupture
Trauma
Tension
Pneumomediastinum
Rare
Elevated Mediastinal pressure leads to
diminished cardiac output, either by:
TPM
10% of blunt chest injury patients will
develop PM.
Mortality & Morbidity
SPM is a self limited condition
retrosternal in location
worsened by inspiratory maneuvers
may radiate to the shoulders or back thus
suggesting MI or pericarditis
mediastinitis or infectious/inflammatory
disorders should be included in the
differential diagnosis
Dysphonia
Signs
Subcutaneous air
Associated pneumothorax
Other diseases
Oxygen saturation
Subcutaneous air
not pathognomic of PM
Chest X-Ray
usually reveals a pneumomediastinum.
ABG
ECG
Spirometry
?
should not be undertaken in
patients with
pneumomediastinum
Adequate analgesia
Some Points
mechanical ventilation & PM?
high-frequency oscillatory ventilation
Children with ARDS and PM?
Nitrogen washout with inhalation of
100% oxygen
Mechanical Ventilation & PM?
Mediastinoscopy
Mediastinal drainage
http://emedicine.medscape.com/
http://LearningRadiology.com
http://chorus.rad.mcw.edu/doc/00964.html
http://www.mypacs.net/