Pneumomediastinum primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
High-risk population should<ref name="pmid15337032">{{cite journal |vauthors=Mihos P, Potaris K, Gakidis I, Mazaris E, Sarras E, Kontos Z |title=Sports-related spontaneous pneumomediastinum |journal=Ann. Thorac. Surg. |volume=78 |issue=3 |pages=983–6 |date=September 2004 |pmid=15337032 |doi=10.1016/j.athoracsur.2004.03.017 |url=}}</ref><ref name="pmid25388364">{{cite journal |vauthors=Agut A, Talavera J, Buendia A, Anson A, Santarelli G, Gomez S |title=IMAGING DIAGNOSIS-SPONTANEOUS PNEUMOMEDIASTINUM SECONDARY TO PRIMARY PULMONARY PATHOLOGY IN A DALMATIAN DOG |journal=Vet Radiol Ultrasound |volume=56 |issue=5 |pages=E54–7 |date=2015 |pmid=25388364 |doi=10.1111/vru.12223 |url=}}</ref><ref name="pmid15082293">{{cite journal |vauthors=Koullias GJ, Korkolis DP, Wang XJ, Hammond GL |title=Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients |journal=Eur J Cardiothorac Surg |volume=25 |issue=5 |pages=852–5 |date=May 2004 |pmid=15082293 |doi=10.1016/j.ejcts.2004.01.042 |url=}}</ref>: | Primary prevention for pneumomediastinum should be catered towards high risk population. High-risk population should:<ref name="pmid15337032">{{cite journal |vauthors=Mihos P, Potaris K, Gakidis I, Mazaris E, Sarras E, Kontos Z |title=Sports-related spontaneous pneumomediastinum |journal=Ann. Thorac. Surg. |volume=78 |issue=3 |pages=983–6 |date=September 2004 |pmid=15337032 |doi=10.1016/j.athoracsur.2004.03.017 |url=}}</ref><ref name="pmid25388364">{{cite journal |vauthors=Agut A, Talavera J, Buendia A, Anson A, Santarelli G, Gomez S |title=IMAGING DIAGNOSIS-SPONTANEOUS PNEUMOMEDIASTINUM SECONDARY TO PRIMARY PULMONARY PATHOLOGY IN A DALMATIAN DOG |journal=Vet Radiol Ultrasound |volume=56 |issue=5 |pages=E54–7 |date=2015 |pmid=25388364 |doi=10.1111/vru.12223 |url=}}</ref><ref name="pmid15082293">{{cite journal |vauthors=Koullias GJ, Korkolis DP, Wang XJ, Hammond GL |title=Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients |journal=Eur J Cardiothorac Surg |volume=25 |issue=5 |pages=852–5 |date=May 2004 |pmid=15082293 |doi=10.1016/j.ejcts.2004.01.042 |url=}}</ref><ref name="pmid11993787">{{cite journal |vauthors=Kobashi Y, Okimoto N, Matsushima T, Soejima R |title=Comparative study of mediastinal emphysema as determined by etiology |journal=Intern. Med. |volume=41 |issue=4 |pages=277–82 |date=April 2002 |pmid=11993787 |doi= |url=}}</ref><ref>{{cite journal|doi=10.3978/j.issn.2072-1439.2015.01.11}}</ref><ref name="pmid15997870">{{cite journal |vauthors=Chiu CY, Wong KS, Yao TC, Huang JL |title=Asthmatic versus non-asthmatic spontaneous pneumomediastinum in children |journal=Asian Pac. J. Allergy Immunol. |volume=23 |issue=1 |pages=19–22 |date=March 2005 |pmid=15997870 |doi= |url=}}</ref><ref name="pmid19411438">{{cite journal |vauthors=Iyer VN, Joshi AY, Ryu JH |title=Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients |journal=Mayo Clin. Proc. |volume=84 |issue=5 |pages=417–21 |date=May 2009 |pmid=19411438 |pmc=2676124 |doi=10.1016/S0025-6196(11)60560-0 |url=}}</ref><ref name="DionísioMartins2017">{{cite journal|last1=Dionísio|first1=Patrícia|last2=Martins|first2=Luís|last3=Moreira|first3=Susana|last4=Manique|first4=Alda|last5=Macedo|first5=Rita|last6=Caeiro|first6=Fátima|last7=Boal|first7=Luísa|last8=Bárbara|first8=Cristina|title=Spontaneous pneumomediastinum: experience in 18 patients during the last 12 years|journal=Jornal Brasileiro de Pneumologia|volume=43|issue=2|year=2017|pages=101–105|issn=1806-3756|doi=10.1590/s1806-37562016000000052}}</ref> | ||
*Avoid strenuous physical activity | *Avoid strenuous physical activity | ||
*Avoid tobacco smoking | *Avoid tobacco smoking | ||
Latest revision as of 21:03, 17 December 2018
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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
The primary mode of prevention in case of pneumomediastinum is to prevent and avoid precipitating factors. Children should be completely vaccinated, medical conditions associated with pneumomediastinum should be treated aggressively. All the medical or surgical procedures that can damage the tracheobronchial tree or gastrointestinal tract should be performed under ultrasound guidance.
Primary Prevention
Primary prevention for pneumomediastinum should be catered towards high risk population. High-risk population should:[1][2][3][4][5][6][7][8]
- Avoid strenuous physical activity
- Avoid tobacco smoking
- Avoid use of recreational drugs
- Receive pneumonia vaccine
- Children should receive vaccination for pertussis
References
- ↑ Mihos P, Potaris K, Gakidis I, Mazaris E, Sarras E, Kontos Z (September 2004). "Sports-related spontaneous pneumomediastinum". Ann. Thorac. Surg. 78 (3): 983–6. doi:10.1016/j.athoracsur.2004.03.017. PMID 15337032.
- ↑ 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.
- ↑ Kobashi Y, Okimoto N, Matsushima T, Soejima R (April 2002). "Comparative study of mediastinal emphysema as determined by etiology". Intern. Med. 41 (4): 277–82. PMID 11993787.
- ↑ . doi:10.3978/j.issn.2072-1439.2015.01.11. Missing or empty
|title=(help) - ↑ Chiu CY, Wong KS, Yao TC, Huang JL (March 2005). "Asthmatic versus non-asthmatic spontaneous pneumomediastinum in children". Asian Pac. J. Allergy Immunol. 23 (1): 19–22. PMID 15997870.
- ↑ Iyer VN, Joshi AY, Ryu JH (May 2009). "Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients". Mayo Clin. Proc. 84 (5): 417–21. doi:10.1016/S0025-6196(11)60560-0. PMC 2676124. PMID 19411438.
- ↑ Dionísio, Patrícia; Martins, Luís; Moreira, Susana; Manique, Alda; Macedo, Rita; Caeiro, Fátima; Boal, Luísa; Bárbara, Cristina (2017). "Spontaneous pneumomediastinum: experience in 18 patients during the last 12 years". Jornal Brasileiro de Pneumologia. 43 (2): 101–105. doi:10.1590/s1806-37562016000000052. ISSN 1806-3756.