Introduction: Pneumomediastinum is an infrequent and rare pathology. The typical radiological manifestations in patients with SARS-CoV-2 pneumonia consist of the presence of bilateral pulmonary opacities, of peripheral distribution. In a recent series of patients with COVID-19, it indicates that 1% of patients can develop spontaneous pneumomediastinum as a complication, it is generally benign and it is not yet clear that this may be an indicator of worsening. Clinical Case: This is a 43-year-old male patient who presented a 15-day illness characterized by pharyngeal pain, fever, chest pain and respiratory distress, receiving multiple antiviral and antibiotic treatment schemes without response, for which he attended to Rebagliati Hospital where he was found respiratory failure, hypoxemia and sepsis. His tomography was compatible with ground glass infiltrate, areas of bilate...

Introduction: Pneumomediastinum is an infrequent and rare pathology. The typical radiological manifestations in patients with SARS-CoV-2 pneumonia consist of the presence of bilateral pulmonary opacities, of peripheral distribution. In a recent series of patients with COVID-19, it indicates that 1% of patients can develop spontaneous pneumomediastinum as a complication, it is generally benign and it is not yet clear that this may be an indicator of worsening. Clinical Case: This is a 43-year-old male patient who presented a 15-day illness characterized by pharyngeal pain, fever, chest pain and respiratory distress, receiving multiple antiviral and antibiotic treatment schemes without response, for which he attended to Rebagliati Hospital where he was found respiratory failure, hypoxemia and sepsis. His tomography was compatible with ground glass infiltrate, areas of bilate...

El objetivo de la investigación fue analizar el involucramiento entre pacientes pluripatológicos y médicos para la toma de decisiones compartida durante la atención hospitalaria. Fue de enfoque cualitativo, diseño no experimental. Se consideraron cuatro participantes (dos pacientes y dos médicos) y se aplicó una entrevista semiestructurada validada según la escala OPTION12. En la discusión y resultados, la descripción de las opiniones se hizo en tres subcategorías: En la primera se evidenció que el paciente debe estar informado sobre su enfermedad y no quedarse con angustias y dudas “aún no me han informado”. Para la segunda subcategoría se evidenció que se deben explicar detalladamente las ventajas y desventajas del tratamiento a realizar a través del consentimiento informado “no hay suficiente tiempo para informar detallado al paciente y familia, pero se tiene que...