Spontaneous Pneumothorax and Pneumomediastinum in COVID 19:Case Series - Pages 8-14

1,*Molano Franco Daniel, 1Valencia Albert, 1Nieto Victor, 2Robayo Ivan, 2Osorio-Perdomo Daniela and 2Rosero Daniela

1Specialist in Critical Medicine and Intensive Care, Intensive Care Unit, Clínica Los Cobos Medical Center, Bogotá. Colombia and 2Hospital Physician, Intensive Care Unit, Clínica Los Cobos Medical Center, Bogotá, Colombia

DOI: https://doi.org/10.31907/2310-9394.2021.09.03

Abstract:

SARS COV2 infection can produce pneumothorax and spontaneous pneumomediastinum complications, which are associated with a worse prognosis. Here we present a series of cases of patients who presented subcutaneous emphysema caused by pneumothorax or spontaneous pneumomediastinum during care in the intensive care unit for pneumonia and COVID 19. This group of patients showed, in all cases, prolonged mechanical ventilation, refractory hypoxemia and hypercapnia, acute renal failure, bacterial superinfection, need for broad-spectrum antibiotics, and vasopressor support.

Keywords: Subcutaneous Emphysema, Spontaneous Pneumothorax, Spontaneous Pneumomediastinum, COVID 19.