Tension pneumomediastinum from opioid inhalation
| Autor: | Patricia A. Thistlewaite, Elizabeth Roderick, Christanne H. Coffey, Mazen Odish, Scott Chicotka, Rahul V. Nene, Adam T. Hryniewicki, Moises Hernandez Vazquez |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Male Valsalva Maneuver medicine.medical_treatment Clinical Sciences Fentanyl Substance Misuse Valsalva maneuver medicine Humans Intubation Pneumomediastinum Mediastinal Emphysema Inhalation Respiratory distress Heroin Dependence business.industry General Medicine Emergency department medicine.disease Emergency & Critical Care Medicine Dyspnea Good Health and Well Being Polysubstance dependence Anesthesia Administration Emergency Medicine Patient Safety Drug Abuse (NIDA only) business medicine.drug |
| Zdroj: | The American Journal of Emergency Medicine. 53:281.e5-281.e8 |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/j.ajem.2021.09.008 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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