Pneumomediastinum secondary prevention: Difference between revisions

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{{Pneumomediastinum}}
{{Pneumomediastinum}}
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==Overview==
==Overview==
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The secondary mode of prevention of pneumomediastinum is to prevent recurrence or malignant cases with proper follow ups and treatment of underlying mediacal condition causing pneumomediastinum.


==Secondary Prevention==
==Secondary Prevention==
*In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes<ref name="pmid15337032">{{cite journal |vauthors=Mihos P, Potaris K, Gakidis I, Mazaris E, Sarras E, Kontos Z |title=Sports-related spontaneous pneumomediastinum |journal=Ann. Thorac. Surg. |volume=78 |issue=3 |pages=983–6 |date=September 2004 |pmid=15337032 |doi=10.1016/j.athoracsur.2004.03.017 |url=}}</ref>.
Secondary modes of preventing pneumomediastinum include:<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="pmid15337032">{{cite journal |vauthors=Mihos P, Potaris K, Gakidis I, Mazaris E, Sarras E, Kontos Z |title=Sports-related spontaneous pneumomediastinum |journal=Ann. Thorac. Surg. |volume=78 |issue=3 |pages=983–6 |date=September 2004 |pmid=15337032 |doi=10.1016/j.athoracsur.2004.03.017 |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>
*In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes.
*Regular follow-ups are required to avoid recurrence or development of malignant pneumomediastinum.
*Regular follow-ups are required to avoid recurrence or development of malignant pneumomediastinum.
*Quit tobacco smoking.
*Keep medical condition, which may progress to pneumomediastinum such as [[Asthma medical therapy|asthma]], [[Chronic obstructive pulmonary disease medical therapy|COPD]], [[Mediastinitis medical therapy|mediastinitis]] or [[Pneumonia medical therapy|pneumonia]] under control with proper medical therapy.<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>
*Quit recreational drug use.
*Keep medical condition, which may progress to pneumomediastinum, under control with proper medical therapy.


==References==
==References==
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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Medicine]]
[[Category:Surgery]]


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Latest revision as of 21:04, 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

The secondary mode of prevention of pneumomediastinum is to prevent recurrence or malignant cases with proper follow ups and treatment of underlying mediacal condition causing pneumomediastinum.

Secondary Prevention

Secondary modes of preventing pneumomediastinum include:[1][2][3]

  • In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes.
  • Regular follow-ups are required to avoid recurrence or development of malignant pneumomediastinum.
  • Keep medical condition, which may progress to pneumomediastinum such as asthma, COPD, mediastinitis or pneumonia under control with proper medical therapy.[4][5][6][7][8]

References

  1. 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.
  2. Mihos P, Potaris K, Gakidis I, Mazaris E, Sarras E, Kontos Z (September 2004). "Sports-related spontaneous pneumomediastinum". Ann. Thorac. Surg. 78 (3): 983–6. doi:10.1016/j.athoracsur.2004.03.017. PMID 15337032.
  3. 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.
  4. 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.
  5. . doi:10.3978/j.issn.2072-1439.2015.01.11. Missing or empty |title= (help)
  6. 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.
  7. 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.
  8. 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.

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