Mediastinography Gas

Gas mediastinography (pneumomediastinography, Pneumomediastinography) is a method of visualizing the mediastinal organs, which uses the injection of gas into the mediastinal cavity to create contrast and improve the visibility of internal structures. This method was developed in the 1970s and has since become one of the most common methods for diagnosing and treating mediastinal diseases.

Gas mediastinography is performed under local anesthesia using a needle, which is inserted through the skin in the sternum and advanced into the mediastinal cavity until the required depth is reached. A gas, usually carbon dioxide or air, is then introduced through a needle into the cavity, which creates contrast and improves the visibility of internal structures.

The benefits of gas mediastinography include:

– Improved visualization of the internal structures of the mediastinum;
– Ability to determine the size and shape of the mediastinum and its contents;
– Increased accuracy of diagnosis and treatment planning.

However, like any other imaging method, gas mediastinography has its limitations and risks. These include:

– Risk of infection and tissue damage;
– Risk of complications such as pneumothorax or emphysema;
– The need to use special equipment and skills to work with it.

Despite these limitations, gas mediastinography remains one of the most effective methods for diagnosing and treating mediastinal diseases. It allows you to obtain more accurate information about the condition of organs and tissues, which helps in choosing the right treatment and improving the quality of life of patients.



In modern medicine, one of the frequently used methods is intravenous administration of the drug into the chest cavity for diseases of the respiratory system. To do this, it is necessary to know the location of the vessel’s entry into the pleura or intercostal spaces. Previously, to determine the location of the injection into the thickness of the walls of the chest cavity, a standard syringe needle was used. Pneumomediastinal sanitation is used for targeted administration of drugs into certain parts of the organ. Pneumomediastinal drainage is based on creating negative pressure in the pleural or pericardial cavity using a special device that allows fluid and pus to be removed from it. The method of gas mediastinography (pneumomediastinography) is not used in our country. In hospitals where chest treatment is carried out, other invasive diagnostic methods are used. This method is used very rarely in such clinics.