Pneumomediastinum medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Trusha Tank, M.D.[2]
Overview
Pneumomediastinum is considered a benign condition. The first step in the treatment is the exclusion of any significant pathology causing pneumomediastinum and if diagnosed, treat the underlying conditions. In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes.
Medical therapy
- Pneumomediastinum is considered a benign condition[1][2].
- The first step in the treatment is the exclusion of any significant pathology causing pneumomediastinum and if diagnosed, treat the underlying conditions such as exacerbation of asthma, COPD, pneumonia, pneumothorax, Boerhaave syndrome, mediastinitis, bronchiectasis or ARDS.
- In case of spontaneous pneumomediastinum without any complications, patients are required to be hospitalized for 24 hours for observational purposes.
- Other treatment options are the following:
- Bedrest
- Analgesic drugs
- Anti-anxiety drugs
References
- ↑ Agut A, Talavera J, Buendia A, Anson A, Santarelli G, Gomez S (2015). "IMAGING DIAGNOSIS-SPONTANEOUS PNEUMOMEDIASTINUM SECONDARY TO PRIMARY PULMONARY PATHOLOGY IN A DALMATIAN DOG". Vet Radiol Ultrasound. 56 (5): E54–7. doi:10.1111/vru.12223. PMID 25388364.
- ↑ Koullias GJ, Korkolis DP, Wang XJ, Hammond GL (May 2004). "Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients". Eur J Cardiothorac Surg. 25 (5): 852–5. doi:10.1016/j.ejcts.2004.01.042. PMID 15082293.