Pneumothorax and pneumomediastinum in COVID-19 acute respiratory distress syndrome

COVID-19 has involved numerous countries across the globe and disease burden, susceptible age group; mortality rate been variable depending on demographical profile, economic status, health care infrastructure. In current clinical environment, is one of most important differential diagnoses in patients presenting with respiratory symptoms. The optimal mechanical ventilation strategy for these a constant topic discussion very importantly so, since great majority require invasive often an extended period time. this report we highlight our experience patient who likely suffered barotrauma either as result traumatic endotracheal intubation or primarily due to itself. We also aim literature available suggest management favorable outcome. cases described are diverse terms variance other comorbidities. According literature, certain patients, spontaneous pneumothorax were noted be managed conservatively oxygen supplementation nasal cannula sufficed. Decision regarding need escalation should taken early avoid complications such self-inflicted lung injury (P-SILI) sequelae pneumomediastinum Recent systematic review further supports fact that use non-invasive (NIV) pneumonia may give false sense security stabilization but no overall benefit intubation. While associated higher rates barotrauma, not mean delayed. This becomes consideration when non-intensivists personnel less provide vulnerable population rely too heavily NIV ventilation.