دورية أكاديمية

Tension pneumomediastinum from opioid inhalation.

التفاصيل البيبلوغرافية
العنوان: Tension pneumomediastinum from opioid inhalation.
المؤلفون: Nene, Rahul V., Hryniewicki, Adam T., Roderick, Elizabeth, Chicotka, Scott, Vazquez, Moises Hernandez, Thistlewaite, Patricia A., Coffey, Christanne, Odish, Mazen F.
المصدر: American Journal of Emergency Medicine; Mar2022, Vol. 53, p281.e5-281.e8, 1p
مستخلص: Pneumomediastinum is a rare complication of substance use, likely due to a Valsalva maneuver after drug inhalation. There are no previously documented associations between pneumomediastinum and opioid use. A 30-year-old man with a history of recent heroin and fentanyl inhalation presented to the emergency department in respiratory distress requiring intubation. His course was complicated by pneumomediastinum which subsequently developed tension physiology. He required emergent surgical decompression with a "blowhole incision" to his anterior chest. Although a rare complication of polysubstance use, pneumomediastinum can progress to tension physiology, requiring prompt diagnosis and management. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Supplemental Index
الوصف
تدمد:07356757
DOI:10.1016/j.ajem.2021.09.008