Pneumomediastinum After Shallow Water Diving

Shah, Sachita; Thomas, Stephen; Gibb, E.M.

doi:10.1016/j.jemermed.2007.05.011

Cited by 5 publications

(4 citation statements)

References 4 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Shallow diving has been reported once, to cause pneumomediastinum. 7 Apart from barotrauma, coughing and breath holding during the drowning process that possibly occurred in our patient, can also lead to pneumomediastinum due to elevation of intraalveolar pressures and subsequent alveolar rupture.…”

Section: Discussionmentioning

confidence: 62%

See 1 more Smart Citation

Pneumomediastinum and Bilateral Pneumothorax Following near Drowning in Shallow Water

Govindaraj

Viswanathan

2011

Clinics and Practice

View full text Add to dashboard Cite

We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI) bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.

show abstract

Section: Discussionmentioning

confidence: 62%

“…7 Pneumomediastinum had been reported initially in 1819 and has been described in the setting of labor and child birth, reactive airway diseases, surgeries to the neck and tonsils, blunt chest trauma and illicit drug inhalation. 8,9 CT did not reveal trauma to the neck due to nasal intubation.…”

Section: Discussionmentioning

confidence: 99%

Pneumomediastinum and Bilateral Pneumothorax Following near Drowning in Shallow Water

Govindaraj

Viswanathan

2011

Clinics and Practice

View full text Add to dashboard Cite

show abstract

“…Nevertheless, if there is a maneuver that increases the intrapulmonary pressure like coughing, PBT may occur even in breath-hold diving. 6 In our case there was not such a maneuver, but there was a very risky action that should be avoided by all breath-hold divers. The inhaled volume of the air in the lungs will reach almost double at the surface if the diver breathes compressed air at nine meters.…”

Section: Figurementioning

confidence: 58%

“…Some PBT cases may recover spontaneously. 6 In this case, neurological symptoms subsided without recompression therapy. When there is a suspicion of PBT, a recompression facility should be saught since the clinical conditions may deteriorate.…”

Section: Figurementioning

confidence: 66%