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  1. Spontaneous pneumomediastinum
    Khoo CS, Ab Rahman SS
    Med J Aust, 2017 11 20;207(10):421.
    PMID: 29129168
    Matched MeSH terms: Mediastinal Emphysema/therapy
  2. Subcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia
    Chiu CL, Ong GS
    Ann Acad Med Singap, 2000 Mar;29(2):256-8.
    PMID: 10895351
    INTRODUCTION: We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation.

    CLINICAL PICTURE: A 51-year-old man had an uneventful anaesthesia lasting about 6.5 hours. Intubation was performed by a very junior medical officer and was considered difficult. He developed sore throat, chest pain, numbness of both hands and palpable crepitus around the neck postoperatively. Chest X-ray revealed diffuse subcutaneous emphysema, pneumomediastinum and possible pneumopericardium.

    TREATMENT: He was treated conservatively with bed rest, oxygen, analgesia, antibiotic prophylaxis, reassurance and close monitoring.

    OUTCOME: The patient made an uneventful recovery.

    CONCLUSIONS: We discussed the possible causes.

    Matched MeSH terms: Mediastinal Emphysema/therapy
  3. Fulltext Silicone Y-stent insertion under extracorporeal membrane oxygenation (ECMO) in a patient with tracheal tear
    Mohd Esa NY, Faisal M, Vengadesa Pilla S, Abdul Rahaman JA
    BMJ Case Rep, 2020 Dec 22;13(12).
    PMID: 33370965 DOI: 10.1136/bcr-2020-236414
    Tracheal tear after endotracheal intubation is extremely rare. The role of silicone Y-stent in the management of tracheal injury has been documented in the previous studies. However, none of the studies have mentioned the deployment of silicone Y-stent via rigid bronchoscope with the patient solely supported by extracorporeal membrane oxygenation (ECMO) without general anaesthesia delivered via the side port of the rigid bronchoscope. We report a patient who had a tracheal tear due to endotracheal tube migration following a routine video-assisted thoracoscopic surgery sympathectomy, which was successfully managed with silicone Y-stent insertion. Procedure was done while she was undergoing ECMO; hence, no ventilator connection to the side port of the rigid scope was required. This was our first experience in performing Y-stent insertion fully under ECMO, and the patient had a successful recovery.
    Matched MeSH terms: Mediastinal Emphysema/therapy
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