COVID pneumonia and barotrauma complications

Case contributed by Ian Bickle


COVID pneumonia. Intubated.

Patient Data

Age: 50 years
Gender: Male

Endotracheal tube and right internal jugular lines suitably sited.

Bilateral pleural drains.

Nasogastric tube malposition with the tube curled in the mid esophagus.

No residual pneumothoraces.

Pneumomediastinum. Extensive surgical emphysema with a ginko leaf appearance.

Bilateral airspace changes of COVID-19 pneumonia.

Case Discussion

This case illustrates some of the potential complications and clinical challenges in caring for very poorly COVID-19 pneumonia patients.

The pressure and volumes sustained in even average district general hospitals in the UK have been phenomenal.

We have experienced several cases of pneumothoraces and pneumomediastinum in COVID-19 patients which has further contributed to respiratory compromise.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.