The OPTICC trial: a multi-institutional study of occult pneumothoraces in critical care.

@article{Ouellet2009TheOT,
  title={The OPTICC trial: a multi-institutional study of occult pneumothoraces in critical care.},
  author={Jean François Ouellet and Vincent J Trottier and Leanne M. Kmet and Sandro Rizoli and Kevin B Laupland and Chad Geoffrey Ball and Marco Sirois and Andrew W Kirkpatrick},
  journal={American journal of surgery},
  year={2009},
  volume={197 5},
  pages={581-6}
}
BACKGROUND The management of pneumothoraces detected on CT but not on supine chest radiographs remains controversial, especially in those undergoing positive pressure ventilation (PPV) who are at risk for complications with both observation and treatment. Previous limited study yielded confusion regarding the need for routine drainage of these occult pneumothoraces (OPTXs). We conducted a pilot study at 2 trauma centers to address the feasibility and safety of randomizing traumatized patients… CONTINUE READING

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