August 1, 2025

Pneumopericardium, Pneumomediastinum, and Bilateral Pneumothoraxes Following Intubation and Repositioning in a 64-Year-Old Male Patient Undergoing Thoracic Decompression and Fusion.

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Discussion

Case report details simultaneous pneumomediastinum, pneumopericardium, and pneumothorax, suggesting new management protocols.

The patient developed pneumomediastinum, pneumopericardium, and bilateral pneumothoraxes following intubation and repositioning, highlighting a rare complication.
Elevated peak airway pressures and reduced tidal volumes indicated a severe ventilatory compromise requiring multiple interventions.
Chest imaging confirmed the presence of all three conditions, which have not been reported together post repositioning during surgery.
This case emphasizes the need for rapid diagnosis, intervention, and preventative strategies in patients with compromised pulmonary health.

McIntyre et al. (2025) studied this question.

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