Pneumothorax in the critically ill patient.

@article{Yarmus2012PneumothoraxIT,
  title={Pneumothorax in the critically ill patient.},
  author={Lonny Yarmus and David J Feller-Kopman},
  journal={Chest},
  year={2012},
  volume={141 4},
  pages={
          1098-1105
        }
}
Pneumothorax in critically ill patients remains a common problem in the ICU, occurring in 4% to 15% of patients. Pneumothorax should be considered a medical emergency and requires a high index of suspicion, prompt recognition, and intervention. The diagnosis of pneumothorax in the critically ill patient can be made by physical examination findings or radiographic studies including chest radiographs, ultrasonography, or CT scanning. Ultrasonography is emerging as the diagnostic procedure of… Expand
Iatrogenic pneumothorax related to mechanical ventilation.
TLDR
Patients with pneumothorax related to mechanical ventilation who have tension pneumothsorax, a higher acute physiology and chronic health evaluation II score or PaO2/FiO2 < 200 mmHg were found to have higher mortality. Expand
Emergencies in pleural diseases.
TLDR
The use of small-bore 12F catheters inserted via the percutaneous Seldinger technique under ultrasonography guidance is a safe and effective procedure in complicated parapneumonic effusions/empyema and most pneumothoraces. Expand
Expectant management of pneumothorax in intubated COVID-19 positive patients: a case series
TLDR
Four cases of patients with respiratory distress who tested positive for COVID-19 via nasopharyngeal swab and developed ventilator-induced pneumothoraces which were successfully managed with observation alone are reported. Expand
Common CaUses of PleUral effUsIons In the ICU Abdominal Surgery
Pleural disease in itself is an unusual cause for admission to the intensive care unit (ICU). Conditions potentially requiring ICU admission include a large pleural effusion causing acute respiratoryExpand
Clinical Characteristics of the Development of Pneumothorax in Mechanically Ventilated Patients in Intensive Care Units
TLDR
PTX can develop in patients undergoing mechanical ventilation (MV), and may cause death, and early recognition and treatment are necessary to prevent hemodynamic compromise in patients who develop PTX. Expand
Factors predicting the need for tube thoracostomy in patients with iatrogenic pneumothorax associated with computed tomography-guided transthoracic needle biopsy
TLDR
Decreased breath sounds, dyspnea, decreased systolic blood pressure, decreased oxygen saturation, and increased pleura-lesion distance may predict the need for a tube thoracostomy in patients with post-biopsy pneumothorax. Expand
Posttraumatic Pneumothorax in Sport: A Case Report and Management Algorithm
TLDR
A traumatic pneumothorax is usually created in the setting of a displaced rib that lacerates the parietal pleura, allowing extra-pleural air to exit and lead to venous congestion and acute decompensation of the patient. Expand
Diagnosis and Treatment of Pneumothorax
TLDR
Current evidence, expert recommendations, and compare professional society guidelines discussing the various diagnostic and management options for patients with pneumothorax are reviewed to assist physicians and trainees involved in the care of hospitalized and outpatient adults who have primary, secondary, and traumatic iatrogenic pneumothsorax. Expand
Persistent air leak management in critically ill patients.
  • J. Kurman
  • Medicine
  • Journal of thoracic disease
  • 2021
TLDR
New guidelines are desperately needed to ensure a standardized approach to this common clinical situation, and the majority of valves in critically ill mechanically ventilated patients are used for non-FDA approved indications. Expand
Pneumothorax in critically ill patients with COVID-19 infection: Incidence, clinical characteristics and outcomes in a case control multicenter study
TLDR
Mechanically ventilated patients with COVID-19 infection who developed pneumothorax had worse gas exchange and respiratory mechanics at the time of intubation and had a higher mortality compared to those who did not develop pneumothsorax. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 75 REFERENCES
Diagnosis of pneumothorax in critically ill adults
TLDR
The diagnosis of pneumothorax is established from the patients' history, physical examination and, where possible, by radiological investigations, although lateral images and computed tomography are also important. Expand
Pleural interventions: management of acute and chronic pneumothorax.
TLDR
The etiology of pneumothorax will often inform the clinician whether a more conservative or more invasive approach is required, and Radiological intervention techniques are valuable in the treatment of complicated pneumothsoraces and in certain clinical situations. Expand
Occult pneumothorax in the blunt trauma patient: tube thoracostomy or observation?
TLDR
The natural history of OP in blunt trauma patients at a Canadian tertiary trauma centre appears to be one of uneventful resolution irrespective of ISS, need for PPV, or placement of tube thoracostomy. Expand
Ultrasound diagnosis of occult pneumothorax*
TLDR
For the diagnosis of occult pneumothorax, ultrasound can decrease the need for computed tomography, and this study concluded that lung ultrasound could be of any help in this situation. Expand
Management of spontaneous pneumothorax: state of the art
TLDR
Recommendations are made regarding the treatment of spontaneous pneumothorax and some diffuse treatment of the visceral pleura should be offered, either by talc poudrage under thoracoscopy or by video-assisted thoracoscopic surgery. Expand
The occult pneumothorax: what have we learned?
TLDR
The final remaining question is whether clinicians can safely omit tube thoracostomy in some patients with occult pneumothoraces concurrent to positive pressure ventilation to avoid subjecting patients to the 22% risk of major chest tube-related insertional, positional and infective complications. Expand
Management of pneumothorax.
TLDR
Treatment of PSPs and SSPs has been heterogeneous in the United States and is likely due in part to the fact that the American College of Chest Physicians guidelines and the British Thoracic Society guidelines differ on some management recommendations, including recommendations that pertain to simple aspiration. Expand
Occult traumatic pneumothorax: diagnostic accuracy of lung ultrasonography in the emergency department.
TLDR
Lung US scans carried out in the emergency department of the ED detect occult PTX and its extension with an accuracy that is almost as high as the reference standard (CT scanning). Expand
Loculated pneumothoraces in patients with acute respiratory disease treated with mechanical ventilation: preliminary observations after image-guided drainage.
TLDR
Image-guided catheter placement may play a role in the acute management of loculated pneumothorax and adult respiratory distress syndrome and this type of therapy may reverse the deterioration of gas exchange and reduce the risk of further pulmonary compromise. Expand
Pneumothorax in the ICU: patient outcomes and prognostic factors.
TLDR
Patients with pneumothoraces occurring in the ICU due to barotrauma, or a complicating tension pneumothsoraces, carry a higher risk of mortality. Expand
...
1
2
3
4
5
...