Occult hemopneumothorax following chest trauma does not need a chest tube

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
I MahmoodR Latifi

Abstract

The increasing use of thoracic computed tomography (CT) in trauma patients has led to the recognition of intrapleural blood and air that are not initially evident on admission plain chest X-ray, defining the presence of occult hemopneumothorax. The clinical significance of occult hemopneumothorax, specifically the role of the tube thoracostomy, is not clearly defined. To identify those patients with occult hemopneumothorax who can be safely managed without chest tube insertion. Prospective observational study. During the recent 24 month period ending July 2010, comprehensive data on trauma patients with occult hemopneumothorax were recorded to determine whether tube thoracostomy was needed and, if not, to define the consequences of nondrainage. Pneumothorax and hemothorax were quantified by computed tomography (CT) measurement. Data included demographics, injury mechanism and severity, chest injuries, need for mechanical ventilation, indications for tube thoracostomy, hospital length of stay, complications and outcome. There were 73 patients with hemopenumothorax identified on CT scan in our trauma registry. Tube thoracostomy was successfully avoided in 60 patients (83 %). Indications for chest tube placement in 13 (17 %) of pa...Continue Reading

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Citations

Mar 19, 2015·Emergency Medicine International·Ismail MahmoodHassan Al-Thani
Jan 4, 2018·The Journal of Trauma and Acute Care Surgery·Leah DemetriMarc de Moya
Oct 1, 2019·Critical Care Research and Practice·Michael PaplawskiCatherine Ko
Aug 7, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Bhavesh H PatelMark I Langdorf
Sep 15, 2020·The Journal of Trauma and Acute Care Surgery·Richard W GilbertJacinthe Lampron

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