{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T21:13:11Z","timestamp":1775250791380,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T00:00:00Z","timestamp":1591833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The number of patients requiring tracheal intubation rose dramatically in March and April 2020 with the COVID\u201019 outbreak. Our thoracic surgery department has seen an increased incidence of severe pneumomediastinum referred for surgical opinion in intubated patients with COVID\u201019 pneumonitis. Here we present a series of five patients with severe pneumomediastinum requiring decompression therapy over a 7\u2010day period in the current COVID\u201019 outbreak. We hypothesise that the mechanism for this is the aggressive disease pathophysiology with an increased risk of alveolar damage and tracheobronchial injury, along with the use of larger\u2010bore tracheal tubes and higher ventilation pressures. We present this case series in order to highlight the increased risk of this potentially life\u2010threatening complication among the COVID\u201019 patient cohort and offer guidance for its management to critical care physicians.<\/jats:p>","DOI":"10.1111\/anae.15113","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T17:03:58Z","timestamp":1588784638000},"page":"1076-1081","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":70,"title":["Pneumomediastinum following intubation in COVID\u201019 patients: a case series"],"prefix":"10.1111","volume":"75","author":[{"given":"A.","family":"Wali","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Guy\u2019s Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Rizzo","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Guy\u2019s Hospital London 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