Abstract
Tension pneumomediastinum (TPM) is a rare but potentially fatal clinical
entity. This leads to leakage of air into the mediastinal cavity and
increased pressure on thoracic vessels, respiratory tract, and the
heart. We report a series of five cases of COVID-19 complicating into
acute respiratory distress syndrome and developing TPM.
Keywords : Acute respiratory distress syndrome, COVID-19, chest
drain, invasive ventilation, tension pneumomediastinum.
Key Clinical Message :
COVID-19 pneumonia patients with ARDS requiring invasive ventilation and
prone positioning can complicate into TPM. Early recognition is vital in
management as it may lead to serious complications as cardiac arrest.