Medias center gas spill: What to know

The article was consulted professionally by Master, Dr Phan Ngoc Math – Emergency Resuscitation Doctor – Emergency Resuscitation Department – Share99 Da Nang International Hospital. The doctor has extensive experience in resuscitation and emergency treatment.

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Mediasth mediasm gas overflow is a rare pathology. In most cases, medias center gas spills occur due to alveolar rupture, or by gas-bronchial, aryal dams.

1. What is a mediasm gas spill?

The presence of free air or air in the medias center is called mediaste gas overflow. Mediasth mediasm gas overflow is a benign and self-limiting condition, which often affects men.

Medias mediasm gas overflow can be caused by injury, which is also known as a natural mediaste gas overflow.

Gas enters the mediassum through the breakage of the under-skin or muscle barrier (usually in bronchial or erethal plants); Gas-living organisms found in the nest of infection in the medias center or vicinity; the pressure difference between the alveoli and the pulmonary interstitial organization leading to alveolar rupture are 3 different mechanisms by which mediastho neutral gas overflow can occur. The medical basis of medias medium gas overflow is the final mechanism.

bronchial cyst

Erratic gas overflow occurs in men

2. Causes of medias center gas spills

Mostly, medias center gas overflow occurs due to gas detectors from any part of the lungs or air paths into the medias center. The pressure in the lungs increases or the air path can be caused by:

  • Severe coughing
  • Increased abdominal pressure
  • sneeze.
  • vomit.
  • The neck or chest area is infected.
  • Change the altitude abruptly.
  • Placing gastric sonde causes tearing of the enta.
  • Torn inamen.
  • Ventilator.
  • May occur along with pleural effusion or other diseases.

The appearance of free gas in the medias center without obvious causes is called a natural mediaste gas overflow.

Pulmonary artery pressure

Increased lung pressure causes gas spills into the mediassion

3. Signs of mediasm gas overflow

Natural mediasm gas overflow is a benign pathology, rare and mostly encountered in young people. The most common clinical manifestations are chest pain, shortness of breath, and gas overflow under the skin.

Patients with mediasmatic gas overflow may be asymptomatic. The disease usually causes chest pain behind the sternum, which can spread to the neck and arms. When breathing and swallowing can cause the pain to increase.

The most common symptoms are chest pain, shortness of breath and painful or unpleasant sensations in the neck. Chest pain is the most common symptom and is characterized by acute pain, after the sternum, pleural type and can spread to the neck, shoulders or back. Some of the less common symptoms include: Cough, difficulty swallowing, painful swallowing, back pain, or abdominal pain.

Shortness of breath

Mediasth mediasmous gas spill causes chest pain, shortness of breath

4. Treatment of medias center gas overflow

Since the body will absorb gas gradually, patients with mediastrular gas spills often do not need treatment intervention. The purpose of the treatment of the disease is mainly supportive treatment, including: Rest, analgesic, oxygen therapy, backup antibiotics, bronchial dilation, vitamins. Depending on the specific case, other methods may be applied, such as:

  • Eliminate nitrogen gas in the medias center faster by breathing oxygen in high concentrations. This method can be applied in the vast majority of mediasity spills. However, when using high concentrations of oxygen, it is necessary to closely monitor the patient's blood gas.
  • Depending on the specific case, one lung artificial ventilation, medium airway pressure artificial ventilation, low vt, high breathing frequency (HFOV) can be performed.
  • Other support methods: When there is a pneumothorax put the pneumothorax. Surgery to repair the perforation of the esophagus, esophagus and pleura.
  • Use the drug to treat painful symptoms, relieve cough.
  • Treatment is required in the emergency unit if a mediasc mediasm is required. Besides other treatments, it is possible to put the tube in the gas chamber to release pinching .

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SEE MORE:

  • Rib fractures: What to know
  • Long-term complications of asthma
  • What is a gas spill under the skin?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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