1
Department of Emergency Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
2
Intensive Care Department, Paediatric Intensive Care Unit, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
3
Department of Surgery, Division of Trauma Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
Abstract
A pneumomediastinum is a condition in which air is present in the mediastinum. It can result from a pulmonary barotrauma which occurs during SCUBA (self contained underwater breathing apparatus) diving. We report on a fifteen-year-old patient who suffered from a pulmonary barotrauma including a pneumomediastinum after SCUBA diving. The patient was admitted to the PICU (Paediatric Intensive Care Unit) and treated conservatively. Subsequently the patient developed neurological deficits resulting from an arterial gas embolism (AGE). This case report discusses some of the principles of the pathophysiology and clinical presentation of diving emergencies. Copyright © 2011, Nederlandse Vereniging voor Intensive Care.
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