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XXI.c

XXI - Mediastinal involvement/injury

Pneumomediastinum

Last update 19/02/2021

Of note, peritracheal and/or submucosal air/gas may obstruct the upper/central airway causing asphyxia. See also under Vf. Pneumomediastinum may cause mediastinal shift or compression with consequent acute respiratory failure (PMID 19748792). Pneumomediastinum can also be observed as a complication of drug-induced ILD, pulmonary fibrosis, or ARDS, either spontaneously or as a complication of barotrauma (e.g. with pulmonary function testing or mechanical ventilation).

Causative drugs

Frequency - Incidence

Incidence of cardiac adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for cardiac adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic