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Jaypee Brothers Medical Publishers, Indian Journal of Critical Care Medicine, 4(20), p. 242-244, 2016

DOI: 10.4103/0972-5229.180047

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Severe subcutaneous emphysema and pneumomediastinum secondary to noninvasive ventilation support in status asthmaticus

Journal article published in 2016 by Lara González García, Corsino Rey ORCID, Alberto Medina, Juan Mayordomo-Colunga
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

A 12-year-old male with status asthmaticus developed subcutaneous emphysema and pneumomediastinum. He was transferred to our unit, where he received noninvasive ventilation (NIV). This respiratory support technique is not an absolute contraindication in these cases. After 2 h on NIV, he worsened sharply and the subcutaneous emphysema got bigger suddenly. He needed invasive ventilation for 5 days. Final outcome was satisfactory. This case illustrates that it is mandatory to keep a high level of vigilance when using NIV in patients with air leaks.