Citation Information :
Vira MC, Rao RR, Mehta RU. Intrathoracic Extrapleural Air Mimicking Pneumothorax: Secondary to Barotrauma in COVID-19. Indian J Respir Care 2021; 10 (2):236-239.
This case illustrates a potential complication of mechanical ventilation in COVID patients, which can mimic as a pneumothorax on chest X-rays. Recognizing this complication in critically ventilated patients is important to avoid unnecessary surgical intervention, which can further add to the patient's morbidity and increase the duration of hospital stay.
Rubinowitz AN, Siegel MD, Tocino I. Thoracic imaging in the ICU. Crit Care Clin 2007;23:539-73.
Anzueto A, Frutos-Vivar F, Esteban A, Alía I, Brochard L, Stewart T, et al. Incidence, risk factors and outcome of barotrauma in mechanically ventilated patients. Intensive Care Med 2004;30:612-9.
O'connor AR, Morgan WE. Radiological review of pneumothorax. BMJ 2005;330:1493-7.
Santamarina MG, Beddings I, Lermanda Holmgren GV, Opazo Sanchez H, Volpacchio MM. Multidetector CT for evaluation of the extrapleural space. Radiographics 2017;37:1352-70.
Clancy DJ, Lane AS, Flynn PW, Seppelt IM. Tension pneumomediastinum: A literal form of chest tightness. J Intensive Care Soc 2017;18:52-6.
Paramasivam E, Bodenham A. Air leaks, pneumothorax, and chest drains. Continuing education in anaesthesia. Crit Care Pain 2008;8:204-9.
Brander L, Ramsay D, Dreier D, Peter M, Graeni R. Continuous left hemidiaphragm sign revisited: A case of spontaneous pneumopericardium and literature review. Heart 2002;88:e5.
Sakai M, Hiyama T, Kuno H, Mori K, Saida T, Ishiguro T, et al. Thoracic abnormal air collections in patients in the intensive care unit: Radiograph findings correlated with CT. Insights Imaging 2020;11:35.
McGuinness G, Zhan C, Rosenberg N, Azour L, Wickstrom M, Mason DM, et al. Increased incidence of barotrauma in patients with COVID-19 on invasive mechanical ventilation. Radiology 2020;297:E252-62.
Ioannidis G, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, Lampaki S, et al. Barotrauma and pneumothorax. J Thorac Dis 2015;7:6.
