Evidence map›Paper›PMID 37900450›Full record

ArticleCureus2023

Acute Airway Compromise Due to Spontaneous Pneumomediastinum in COVID-19 Infection and Subsequent Rapid Formation of Pulmonary Subpleural Bullae: A Case Report.

Sailesh Partheeban, Kerron Glean, Sharda Boodram, Kristianne Dassrath, Navindra Persad, Prisca Bradshaw, Randall Carvalho, Parasram Ramraj

Abstract readCase Reports
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sailesh PartheebanCovid Team, South West Regional Health Authority, San Fernando, TTO.
Kerron GleanInternal Medicine, South West Regional Health Authority, San Fernando, TTO.
Sharda BoodramCovid Team, South West Regional Health Authority, San Fernando, TTO.
Kristianne DassrathInternal Medicine, South West Regional Health Authority, San Fernando, TTO.
Navindra PersadInternal Medicine, South West Regional Health Authority, San Fernando, TTO.
Prisca BradshawAnaesthetics & Intensive Care Unit, South West Regional Health Authority, San Fernando, TTO.
Randall CarvalhoAnaesthetics & Intensive Care Unit, South West Regional Health Authority, San Fernando, TTO.
Parasram RamrajDepartment of Surgery, South West Regional Health Authority, San Fernando, TTO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous pneumomediastinum (SPM), an increasingly documented complication of COVID-19 infection, usually presents with retrosternal chest pain and dyspnea but can present atypically. In this case, an exceptionally rare presentation could have led to inappropriate management and a poor outcome. Here, a previously healthy 41-year-old Afro-Caribbean male non-smoker presents with acute airway compromise due to SPM. Conservative management proved effective, with anxiolysis to mitigate patient self-induced lung injury (PSILI) and oxygen supplementation via a non-rebreather mask to increase the resolution rate till the patient stabilized over the following days. The sequelae of the lung insult were noted in subsequent imaging, showing the formation of many subpleural bullae. Our case demonstrates the need for a high index of suspicion for pneumomediastinum among teams caring for COVID-19 cases. It also highlights the potential need for follow-up for further research on pulmonary sequelae.

Indexed as

airway compromisebullaecase reportcovid-19spontaneous pneumomediastinumsubpleural bleb

Identifiers

PMID37900450
PMCPMC10602207

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.