Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation

We present a case of a seventeen-year-old patient, admitted in the care of the surgical team following inhalation of nitrous oxide at high pressure, leading to extensive pneumomediastinum and surgical emphysema. We discuss the subsequent investigations and management for this patient. In the absence...

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Main Authors: H. Jeddy, Farhan Rashid, H. Bhutta, B. Lorenzi, A. Charalabopoulos
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2016/4318015
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author H. Jeddy
Farhan Rashid
H. Bhutta
B. Lorenzi
A. Charalabopoulos
author_facet H. Jeddy
Farhan Rashid
H. Bhutta
B. Lorenzi
A. Charalabopoulos
author_sort H. Jeddy
collection DOAJ
description We present a case of a seventeen-year-old patient, admitted in the care of the surgical team following inhalation of nitrous oxide at high pressure, leading to extensive pneumomediastinum and surgical emphysema. We discuss the subsequent investigations and management for this patient. In the absence of history of airway injury and respiratory problems including asthma and with no oesophageal perforation on investigations, the diagnostic and management challenges encountered have been discussed which will help in future management of similar cases.
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institution Kabale University
issn 2090-6528
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publishDate 2016-01-01
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-836b4bfada4448d09a129f763a1944492025-02-03T01:32:53ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/43180154318015Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide InhalationH. Jeddy0Farhan Rashid1H. Bhutta2B. Lorenzi3A. Charalabopoulos4Department of Upper Gastrointestinal Surgery, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, UKDepartment of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Luton, UKDepartment of Upper Gastrointestinal Surgery, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, UKDepartment of Upper Gastrointestinal Surgery, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, UKDepartment of Upper Gastrointestinal Surgery, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, UKWe present a case of a seventeen-year-old patient, admitted in the care of the surgical team following inhalation of nitrous oxide at high pressure, leading to extensive pneumomediastinum and surgical emphysema. We discuss the subsequent investigations and management for this patient. In the absence of history of airway injury and respiratory problems including asthma and with no oesophageal perforation on investigations, the diagnostic and management challenges encountered have been discussed which will help in future management of similar cases.http://dx.doi.org/10.1155/2016/4318015
spellingShingle H. Jeddy
Farhan Rashid
H. Bhutta
B. Lorenzi
A. Charalabopoulos
Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation
Case Reports in Gastrointestinal Medicine
title Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation
title_full Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation
title_fullStr Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation
title_full_unstemmed Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation
title_short Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation
title_sort pneumomediastinum secondary to barotrauma after recreational nitrous oxide inhalation
url http://dx.doi.org/10.1155/2016/4318015
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AT farhanrashid pneumomediastinumsecondarytobarotraumaafterrecreationalnitrousoxideinhalation
AT hbhutta pneumomediastinumsecondarytobarotraumaafterrecreationalnitrousoxideinhalation
AT blorenzi pneumomediastinumsecondarytobarotraumaafterrecreationalnitrousoxideinhalation
AT acharalabopoulos pneumomediastinumsecondarytobarotraumaafterrecreationalnitrousoxideinhalation