Presentation
COVID pneumonia. Intubated.
Patient Data
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.
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