{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:49:39Z","timestamp":1782604179080,"version":"3.54.5"},"reference-count":11,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,8,11]],"date-time":"2016-08-11T00:00:00Z","timestamp":1470873600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Intensive Care Society"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>Tension pneumomediastinum is a rare and life-threatening complication of mediastinal emphysema which can occur with mechanical ventilation. We present a case of tension mediastinum associated with mechanical ventilation in a patient with Acute Respiratory Distress Syndrome due to Pneumocystis jirovecii pneumonia. We discuss the mechanism and pathophysiology of tension pneumomediastinum, the potential association with Pneumocystis jirovecii pneumonia and recruitment manouvres, and its definitive emergency treatment.<\/jats:p>","DOI":"10.1177\/1751143716662665","type":"journal-article","created":{"date-parts":[[2016,8,3]],"date-time":"2016-08-03T21:21:35Z","timestamp":1470259295000},"page":"52-56","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Tension pneumomediastinum: A literal form of chest tightness"],"prefix":"10.1177","volume":"18","author":[{"given":"David J","family":"Clancy","sequence":"first","affiliation":[{"name":"Nepean Blue Mountains Local Health District, Derby St, Penrith, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew S","family":"Lane","sequence":"additional","affiliation":[{"name":"Sydney Medical School, Derby St, Kingswood, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter W","family":"Flynn","sequence":"additional","affiliation":[{"name":"Nepean Hospital, Derby St, Penrith, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian M","family":"Seppelt","sequence":"additional","affiliation":[{"name":"Nepean Blue Mountains Local Health District, Derby St, Penrith, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,8,11]]},"reference":[{"key":"bibr1-1751143716662665","first-page":"42","volume":"114","author":"McNicholl B","year":"1967","journal-title":"Arch Dis Child"},{"key":"bibr2-1751143716662665","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-194412000-00001"},{"key":"bibr3-1751143716662665","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02525.x"},{"key":"bibr4-1751143716662665","unstructured":"Obesa Carillo GA. Tension pneumomedistinum: the earth-heart sign. Radiopedia.org, http:\/\/radiopaedia.org\/cases\/tension-pneumomediastinum-earth-heart-sign Radhi S and Alexander T. Outcome of HIV-associated Pneumocystis pneumonia in hospitalized patients from 2000 to 2003.\n                      BMC Infect Dis\n                      2008; 8: 119."},{"key":"bibr5-1751143716662665","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.161.3.8352098"},{"key":"bibr6-1751143716662665","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62634-3"},{"key":"bibr7-1751143716662665","doi-asserted-by":"publisher","DOI":"10.1378\/chest.93.6.1301"},{"key":"bibr8-1751143716662665","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2013.04.052"},{"key":"bibr9-1751143716662665","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.08.009"},{"key":"bibr10-1751143716662665","first-page":"675","volume":"10","author":"Mohamed IS","year":"2008","journal-title":"Chinese J Contemporary Paediatr"},{"key":"bibr11-1751143716662665","doi-asserted-by":"publisher","DOI":"10.1016\/0720-048X(92)90193-D"}],"container-title":["Journal of the Intensive Care Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1751143716662665","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1751143716662665","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1751143716662665","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:55:13Z","timestamp":1777460113000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1751143716662665"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,11]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1177\/1751143716662665"],"URL":"https:\/\/doi.org\/10.1177\/1751143716662665","relation":{},"ISSN":["1751-1437"],"issn-type":[{"value":"1751-1437","type":"print"}],"subject":[],"published":{"date-parts":[[2016,8,11]]}}}