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Ann Fr Anesth Reanim · Apr 2014
Case Reports[Spontaneous pneumomediastinum secondary to inhalation of crack.]
- V Blasco, C Nafati, L Reydellet, K Harti-Souab, and J Albanèse.
- Service d'anesthésie et de réanimation, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 5, France. Electronic address: Valerybenjamin.blasco@ap-hm.fr.
- Ann Fr Anesth Reanim. 2014 Apr 1;33(4):282-3.
AbstractThe use of cocaine causes numerous cardiovascular and pulmonary side effects. In this context, the occurrence of a pneumomediastinum represents a specific complication, often misunderstood by primary care physicians. We describe here on case of patient who suffered from subcutaneous emphysema and pneumomediastinum after smoking "crack". We emphasize the importance of always keeping in mind the possibility of illicit substance use in such cases, especially among young and healthy patients. A short observation period with outpatient follow-up is appropriate in the majority of patients. Invasive procedures have a low yield and should be based on a high degree of clinical suspicion for esophageal rupture or bronchial tree laceration.Copyright © 2014 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.
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