TY  - JOUR
TI  - Early Period Results in Patients Developing
Pneumothorax and Pneumomediastinum
Due to COVID-19 Pneumonia: Single-Center
Clinical Experience on 47 Cases
AB  - Objective: Pneumothorax (PNX) and/or pneumomediastinum (PNM) is an entity that can
occur as late findings in COVID-19 patients with mechanical ventilator support. The purpose
of this study was to determine the parameters that influence morbidity and mortality asso-
ciated with PNX and/or PNM secondary to COVID-19 infection.
Methods: The study was performed on patients from March 2020 to December 2020. De-
mographic data, comorbidities, positive end-expiratory pressure (PEEP) values, and fraction
of inspired oxygen (FiO 2) percentage were analyzed. Mortality in the first 48 h, between 48
h and 7 days, and after 7 days was assayed.
Results: A total of 47 patients, only 2 of whom (4%) were in 20–40 years of age, were
studied. The result was statistically significant (p<0.03). Bilateral PNX was seen in 5 patients
(11%). Tube thoracostomy was performed in 40 patients (85%). The isolated PM was de-
tected as a single finding in 11 patients (23%). The mean age was 62 years. The mean me-
chanical ventilator PEEP and the FiO2 values were 11 cmH2O and 84%, respectively. When
the mortality of the first 48 h and the first 7 days was compared, no statistically significant
difference was found. However, a significant difference in the mortality observed after the
7th day, which is consistent with the literature, and the presence of diffuse subcutaneous
emphysema was detected (p<0.05).
Conclusion: Tube thoracostomy is a highly effective method for treating PNX in all pa-
tients. Due to the elevated risk of PNX associated with the development of PNM in patients
receiving mechanical ventilation, we suggest that more sensitive and earlier lung-protective
breathing methods should be used
AU  - SEVİLGEN, GÖKÇEN
AU  - Tülüce, Kerim
AU  - TÜRÜT, HASAN
DO  - 10.14744/scie.2022.03764
PY  - 2022
JO  - Southern Clinics of Istanbul Eurasia
VL  - 33
IS  - 2
SN  - 2587-0998
SP  - 174
EP  - 179
DB  - TRDizin
UR  - http://search/yayin/detay/535402
ER  -