scholarly journals Severe Pneumomediastinum and Subcutaneous Emphysema Subsequent to Prolonged Mechanical Ventilation

IDCases ◽  
2021 ◽  
pp. e01090
Author(s):  
Diana M. Fidrocki ◽  
Nathaniel R. Greenbaum ◽  
Geraldine C. Diaz
Keyword(s):  
Mechanical Ventilation ◽  
Subcutaneous Emphysema ◽  
Prolonged Mechanical Ventilation

scholarly journals Spontaneous Pneumothorax and Pneumomediastinum in COVID 19: Case Series

2021 ◽  
pp. 8-14
Author(s):  
Molano Franco Daniel ◽  
◽  
Valencia Albert ◽  
Nieto Victor ◽  
Robayo Ivan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Subcutaneous Emphysema ◽  
Spontaneous Pneumothorax ◽  
Prolonged Mechanical Ventilation ◽  
Case Series ◽  
Spontaneous Pneumomediastinum ◽  
Refractory Hypoxemia ◽  
Bacterial Superinfection ◽  
Worse Prognosis

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

Determinants of the Need for Intensive Care and Prolonged Mechanical Ventilation in Patients Undergoing Bariatric Surgery

2004 ◽  
Vol 14 (8) ◽  
pp. 1036-1041 ◽  
Author(s):  
Thomas S. Helling ◽  
Thomas L. Willoughby ◽  
Daniel M. Maxfield ◽  
Patricia Ryan
Keyword(s):  
Bariatric Surgery ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Prolonged Mechanical Ventilation

scholarly journals Predictive role of perioperative neutrophil to lymphocyte ratio in pediatric congenital heart disease associated with pulmonary arterial hypertension

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoqiang Yin ◽  
Mei Xin ◽  
Sheng Ding ◽  
Feng Gao ◽  
Fan Wu ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Congenital Heart ◽  
Prolonged Mechanical Ventilation ◽  
Pulmonary Arterial ◽  
Mechanical Ventilation Time

Abstract Background We aimed to explore the relationship between the neutrophil to lymphocyte ratio (NLR) and the early clinical outcomes in children with congenital heart disease (CHD) associated with pulmonary arterial hypertension (PAH) after cardiac surgery. Methods A retrospective observational study involving 190 children from January 2013 to August 2019 was conducted. Perioperative clinical and biochemical data were collected. Results We found that pre-operative NLR was significantly correlated with AST, STB, CR and UA (P < 0.05), while post-operative NLR was significantly correlated with ALT, AST, BUN (P < 0.05). Increased post-operative neutrophil count and NLR as well as decreased lymphocyte count could be observed after cardiac surgery (P < 0.05). Level of pre-operative NLR was significantly correlated with mechanical ventilation time, ICU stay time and total length of stay (P < 0.05), while level of post-operative NLR was only significantly correlated to the first two (P < 0.05). By using ROC curve analysis, relevant areas under the curve for predicting prolonged mechanical ventilation time beyond 24 h, 48 h and 72 h by NLR were statistically significant (P < 0.05). Conclusion For patients with CHD-PAH, NLR was closely related to early post-operative complications and clinical outcomes, and could act as a novel marker to predict the occurrence of prolonged mechanical ventilation.

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