Pneumomediastinum medical therapy: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pneumomediastinum}} | {{Pneumomediastinum}} | ||
{{CMG}} {{AE}} {{Trusha}} | {{CMG}}; {{AE}} {{Trusha}} | ||
==Overview== | ==Overview== | ||
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*Pneumomediastinum is considered a benign condition<ref name="pmid25388364">{{cite journal |vauthors=Agut A, Talavera J, Buendia A, Anson A, Santarelli G, Gomez S |title=IMAGING DIAGNOSIS-SPONTANEOUS PNEUMOMEDIASTINUM SECONDARY TO PRIMARY PULMONARY PATHOLOGY IN A DALMATIAN DOG |journal=Vet Radiol Ultrasound |volume=56 |issue=5 |pages=E54–7 |date=2015 |pmid=25388364 |doi=10.1111/vru.12223 |url=}}</ref><ref name="pmid15082293">{{cite journal |vauthors=Koullias GJ, Korkolis DP, Wang XJ, Hammond GL |title=Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients |journal=Eur J Cardiothorac Surg |volume=25 |issue=5 |pages=852–5 |date=May 2004 |pmid=15082293 |doi=10.1016/j.ejcts.2004.01.042 |url=}}</ref>. | *Pneumomediastinum is considered a benign condition<ref name="pmid25388364">{{cite journal |vauthors=Agut A, Talavera J, Buendia A, Anson A, Santarelli G, Gomez S |title=IMAGING DIAGNOSIS-SPONTANEOUS PNEUMOMEDIASTINUM SECONDARY TO PRIMARY PULMONARY PATHOLOGY IN A DALMATIAN DOG |journal=Vet Radiol Ultrasound |volume=56 |issue=5 |pages=E54–7 |date=2015 |pmid=25388364 |doi=10.1111/vru.12223 |url=}}</ref><ref name="pmid15082293">{{cite journal |vauthors=Koullias GJ, Korkolis DP, Wang XJ, Hammond GL |title=Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients |journal=Eur J Cardiothorac Surg |volume=25 |issue=5 |pages=852–5 |date=May 2004 |pmid=15082293 |doi=10.1016/j.ejcts.2004.01.042 |url=}}</ref>. | ||
*The first step in the treatment is the exclusion of any significant pathology causing pneumomediastinum and if diagnosed, treat the underlying conditions such as exacerbation of [[Asthma medical therapy|asthma]], [[Chronic obstructive pulmonary disease medical therapy|COPD]], [[Pneumonia medical therapy|pneumonia]], [[Pneumothorax medical therapy|pneumothorax]], [[Boerhaave syndrome medical therapy|Boerhaave syndrome]], [[Mediastinitis medical therapy|mediastinitis]], [[Bronchiectasis medical therapy|bronchiectasis]] or [[Acute respiratory distress syndrome medical therapy|ARDS]]. | *The first step in the treatment is the exclusion of any significant pathology causing pneumomediastinum and if diagnosed, treat the underlying conditions such as exacerbation of [[Asthma medical therapy|asthma]], [[Chronic obstructive pulmonary disease medical therapy|COPD]], [[Pneumonia medical therapy|pneumonia]], [[Pneumothorax medical therapy|pneumothorax]], [[Boerhaave syndrome medical therapy|Boerhaave syndrome]], [[Mediastinitis medical therapy|mediastinitis]], [[Bronchiectasis medical therapy|bronchiectasis]] or [[Acute respiratory distress syndrome medical therapy|ARDS]].<ref name="pmid11993787">{{cite journal |vauthors=Kobashi Y, Okimoto N, Matsushima T, Soejima R |title=Comparative study of mediastinal emphysema as determined by etiology |journal=Intern. Med. |volume=41 |issue=4 |pages=277–82 |date=April 2002 |pmid=11993787 |doi= |url=}}</ref><ref>{{cite journal|doi=10.3978/j.issn.2072-1439.2015.01.11}}</ref><ref name="pmid15997870">{{cite journal |vauthors=Chiu CY, Wong KS, Yao TC, Huang JL |title=Asthmatic versus non-asthmatic spontaneous pneumomediastinum in children |journal=Asian Pac. J. Allergy Immunol. |volume=23 |issue=1 |pages=19–22 |date=March 2005 |pmid=15997870 |doi= |url=}}</ref><ref name="pmid19411438">{{cite journal |vauthors=Iyer VN, Joshi AY, Ryu JH |title=Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients |journal=Mayo Clin. Proc. |volume=84 |issue=5 |pages=417–21 |date=May 2009 |pmid=19411438 |pmc=2676124 |doi=10.1016/S0025-6196(11)60560-0 |url=}}</ref><ref name="DionísioMartins2017">{{cite journal|last1=Dionísio|first1=Patrícia|last2=Martins|first2=Luís|last3=Moreira|first3=Susana|last4=Manique|first4=Alda|last5=Macedo|first5=Rita|last6=Caeiro|first6=Fátima|last7=Boal|first7=Luísa|last8=Bárbara|first8=Cristina|title=Spontaneous pneumomediastinum: experience in 18 patients during the last 12 years|journal=Jornal Brasileiro de Pneumologia|volume=43|issue=2|year=2017|pages=101–105|issn=1806-3756|doi=10.1590/s1806-37562016000000052}}</ref> | ||
*In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes. | *In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes. | ||
* Other treatment options are the following: | |||
Other treatment options are the following: | **Bedrest | ||
**[[Analgesic]] drugs | |||
*Bedrest | **[[Anxiolytics|Anti-anxiety]] drugs | ||
*[[Analgesic]] drugs | |||
*[[Anxiolytics|Anti-anxiety]] drugs | |||
==References== | ==References== | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Medicine]] | |||
[[Category:Surgery]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 20:59, 17 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Trusha Tank, M.D.[2]
Overview
Pneumomediastinum is considered a benign condition. The first step in the treatment is the exclusion of any significant pathology causing pneumomediastinum and if diagnosed, treat the underlying conditions. In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes.
Medical therapy
- Pneumomediastinum is considered a benign condition[1][2].
- The first step in the treatment is the exclusion of any significant pathology causing pneumomediastinum and if diagnosed, treat the underlying conditions such as exacerbation of asthma, COPD, pneumonia, pneumothorax, Boerhaave syndrome, mediastinitis, bronchiectasis or ARDS.[3][4][5][6][7]
- In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes.
- Other treatment options are the following:
- Bedrest
- Analgesic drugs
- Anti-anxiety drugs
References
- ↑ Agut A, Talavera J, Buendia A, Anson A, Santarelli G, Gomez S (2015). "IMAGING DIAGNOSIS-SPONTANEOUS PNEUMOMEDIASTINUM SECONDARY TO PRIMARY PULMONARY PATHOLOGY IN A DALMATIAN DOG". Vet Radiol Ultrasound. 56 (5): E54–7. doi:10.1111/vru.12223. PMID 25388364.
- ↑ Koullias GJ, Korkolis DP, Wang XJ, Hammond GL (May 2004). "Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients". Eur J Cardiothorac Surg. 25 (5): 852–5. doi:10.1016/j.ejcts.2004.01.042. PMID 15082293.
- ↑ Kobashi Y, Okimoto N, Matsushima T, Soejima R (April 2002). "Comparative study of mediastinal emphysema as determined by etiology". Intern. Med. 41 (4): 277–82. PMID 11993787.
- ↑ . doi:10.3978/j.issn.2072-1439.2015.01.11. Missing or empty
|title=(help) - ↑ Chiu CY, Wong KS, Yao TC, Huang JL (March 2005). "Asthmatic versus non-asthmatic spontaneous pneumomediastinum in children". Asian Pac. J. Allergy Immunol. 23 (1): 19–22. PMID 15997870.
- ↑ Iyer VN, Joshi AY, Ryu JH (May 2009). "Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients". Mayo Clin. Proc. 84 (5): 417–21. doi:10.1016/S0025-6196(11)60560-0. PMC 2676124. PMID 19411438.
- ↑ Dionísio, Patrícia; Martins, Luís; Moreira, Susana; Manique, Alda; Macedo, Rita; Caeiro, Fátima; Boal, Luísa; Bárbara, Cristina (2017). "Spontaneous pneumomediastinum: experience in 18 patients during the last 12 years". Jornal Brasileiro de Pneumologia. 43 (2): 101–105. doi:10.1590/s1806-37562016000000052. ISSN 1806-3756.