Outcome of concurrent occult hemothorax and pneumothorax in trauma patients who required assisted ventilation

Emergency Medicine International
Ismail MahmoodHassan Al-Thani

Abstract

Background. The management and outcomes of occult hemopneumothorax in blunt trauma patients who required mechanical ventilation are not well studied. We aimed to study patients with occult hemopneumothorax on mechanical ventilation who could be carefully managed without tube thoracostomy. Methods. Chest trauma patients with occult hemopneumothorax who were on mechanical ventilation were prospectively evaluated. The presence of hemopneumothorax was confirmed by CT scanning. Hospital length of stay, complications, and outcome were recorded. Results. A total of 56 chest trauma patients with occult hemopneumothorax who were on ventilatory support were included with a mean age of 36 ± 13 years. Hemopneumothorax was managed conservatively in 72% cases and 28% underwent tube thoracostomy as indicated. 29% of patients developed pneumonia, 16% had Acute Respiratory Distress Syndrome (ARDS), and 7% died. Thickness of hemothorax, duration of mechanical ventilation, and development of ARDS were significantly associated with tube thoracostomy in comparison to no-chest tube group. Conclusions. The majority of occult hemopneumothorax can be carefully managed without tube thoracostomy in patients who required positive pressure ventilation. Tub...Continue Reading

References

Apr 1, 1987·AJR. American Journal of Roentgenology·J A RuskinL R Goodman
Aug 1, 1987·Annals of Surgery·R M ShorrA Rodriguez
Nov 1, 1984·AJR. American Journal of Roentgenology·I M TocinoF Thomas
Nov 1, 1983·AJR. American Journal of Roentgenology·S D WallC M Brett
May 1, 1995·Archives of Surgery·S W EtochJ D Richardson
Jun 1, 1994·Radiology·K L EibenbergerF Grabenwöger
Feb 1, 1993·Radiology·N L Müller
Mar 1, 1993·The Journal of Emergency Medicine·K G BridgesB Esposito
Nov 3, 1998·AJR. American Journal of Roentgenology·N T WolfmanM Y Chen
Jun 18, 1999·The Journal of Trauma·K J BraselD C Borgstrom
Mar 16, 2000·Journal of Accident & Emergency Medicine·R C Bailey
Feb 1, 2003·Lancet·Liao PinhuMark Griffiths
Nov 26, 2005·American Journal of Surgery·John F BilelloDeborah M Lemaster
Dec 13, 2006·American Journal of Surgery·Renae E StaffordLacey Washington
Jul 12, 2007·The Journal of Trauma·Marc A de MoyaLouis Pizano
Feb 11, 2011·The Journal of Trauma·Nathan T MoweryErik Streib
Dec 1, 1995·International Journal of Oncology·M Volm, J Mattern
Jul 12, 2011·American Journal of Surgery·Ismail MahmoodKimball Maull
Feb 9, 2012·The Journal of Trauma and Acute Care Surgery·Joseph DuBoseUNKNOWN AAST Retained Hemothorax Study Group
Feb 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·I MahmoodR Latifi

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Citations

Mar 24, 2016·Journal of Investigative Medicine High Impact Case Reports·Ana Mavarez-MartinezDemicha Rankin
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
Apr 3, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Yehuda HershkovitzIgor Jeroukhimov

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Methods Mentioned

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Software Mentioned

Statistical Package for the Social Sciences

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