AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and Equipment
PneumothoraxPneumothorax, ArtificialThoracostomyPleurodesisChest TubesThoracic Surgery, Video-AssistedThoracoscopyDrainagePleuraMediastinal Emphysema
TensionOpen pneumothoraxPatients with pneumothoraxPneumothoracesComplicationsPrimaryTraumatic and iatrogenicComplicationPenetrating traumaHemothoraxThoracicSigns of pneumothoraxDevelopment of pneumothoraxSpontaneouslyDyspneaOccurs when air leaksIncidenceThoracentesisRuptureCLABSIPatientWoundsSecondary spontaneousClinicalPulmonary parenchymalBluntEsophagusMediastinalSymptomsPersistent air leakLungsOnsetTube thoracostomyOccurInfectionPleurodesisNeedle aspirationOxygenLung collapsePneumomediastinumLeft untreatedArtificialTuberculosisDiagnosisMechanical ventilationCollapseResolveCommonAccumulation
Tension20
  • Examination of patients with this condition may reveal diaphoresis and cyanosis (in the case of tension pneumothorax). (medscape.com)
  • Although laboratory and imaging studies help determine a diagnosis, tension pneumothorax primarily is a clinical diagnosis based on patient presentation. (medscape.com)
  • Tension pneumothorax in dogs is a life-threatening condition where air accumulates in the pleural cavity (the space between the lungs and chest wall) without an escape route. (drgoodvet.com)
  • Tension pneumothorax can occur as a complication of any other types of pneumothorax (traumatic, spontaneous, or iatrogenic) or as a result of a penetrating chest injury that creates a one-way valve effect, allowing air to enter the pleural cavity but not escape. (drgoodvet.com)
  • If the spontaneous pneumothorax progresses to become under tension, the symptoms are more severe, and significant hemodynamic and respiratory instability may develop and require urgent treatment. (sts.org)
  • A tension pneumothorax is a life-threatening situation. (mhzmediaproduktioner.se)
  • These injuries are closed pneumothorax, open pneumothorax, sucking chest wound, tension pneumothorax and flail chest. (mhzmediaproduktioner.se)
  • Tension pneumothorax develops when air continuously enters the chest without evacuation. (mhzmediaproduktioner.se)
  • The medical provider needs to be keenly aware that there is a high probability of a tension pneumothorax if the patient has an open trauma to the chest wall. (mhzmediaproduktioner.se)
  • A tension pneumothorax can cause complete collapse of the nearby lung and can push the heart and major blood vessels to the other side of the chest. (mhzmediaproduktioner.se)
  • Tension pneumothorax, the accumulation of air in the chest under positive pressure, is a life-threatening condition that leads to hemodynamic instability and requires immediate decompression by a needle or a chest tube. (basicmedicalkey.com)
  • muscle tension pneumothorax after having under-correction and no iatrogenic forms. (techonepost.com)
  • Tension pneumothorax - time to change the old mantra? (litfl.com)
  • Following the recent LITFL blog demonstrating a CT of a tension pneumothorax , we review some of the controversies in managing this much-maligned medical emergency. (litfl.com)
  • Tension pneumothorax describes the progressive accumulation of air in the pleural cavity (normally a potential space) through a defect in the visceral pleura. (litfl.com)
  • In treating a tension pneumothorax, we have traditionally been taught to place a large bore catheter in the second intercostal place (2nd ICS) mid-clavicular line, and this method is still advocated in ATLS guidelines. (litfl.com)
  • Tension Pneumothorax buildup of air under pressure in the pleural space resulting in interference with filling of both the heart and lungs. (lifenurses.com)
  • Treatment is conservative for spontaneous pneumothorax in which no signs of increased pleural pressure appear (indicating tension Pneumothorax), lung collapse is less than 30%, and the patient shows no signs of Dyspnea or other indications of physiologic compromise. (lifenurses.com)
  • Tension Pneumothorax Immediate decompression to prevent cardiovascular collapse by thoracentesis or chest tube insertion to let air escape. (lifenurses.com)
  • Conversion to tension pneumothorax is the worst feared complication if left untreated. (medscape.com)
Open pneumothorax9
Patients with pneumothorax2
  • Surgical interventions include removing the penetrating object, exploratory thoracotomy if necessary, thoracentesis, and thoracotomy for patients with two or more episodes of spontaneous pneumothorax or patients with pneumothorax that does not resolve within 1 week. (lifenurses.com)
  • American College of Chest Physicians (ACCP) recommends stable patients with pneumothorax get small bore and the unstable patient gets a small to moderate-sized chest tube. (rebelem.com)
Pneumothoraces3
  • Pneumothoraces can be classified as spontaneous, posttraumatic, and iatrogenic (Table 1). (sts.org)
  • Iatrogenic pneumothoraces may occur during a diagnostic or therapeutic procedure in the hospital environment. (sts.org)
  • The authors found that drainage via catheter or via chest tube is similarly effective for the management for the management of pneumothoraces, including primary spontaneous pneumothorax, secondary spontaneous pneumothorax, and traumatic and iatrogenic pneumothoraces. (medscape.com)
Complications3
  • In contrast to the intercostal blocking technique, blindly needling muscles of the trunk have been documented to result in potentially deadly iatrogenic complications [ 2 ]. (myopainseminars.com)
  • Pneumothorax can be life-threatening if not treated promptly, as it impairs the dog's respiratory function and can lead to respiratory failure or other complications. (drgoodvet.com)
  • 1 in 5 patients requiring a chest tube will suffer complications - many are iatrogenic in nature. (rebelem.com)
Primary10
  • An overview of relevant and updated information on epidemiology, pathophysiology, and management of spontaneous (primary and secondary), catamenial, and traumatic (iatrogenic and noniatrogenic) pneumothorax is given. (nih.gov)
  • A spontaneous pneumothorax is further classified as primary and secondary, with the former occurring in individuals with no clinical lung disease and the latter occurring as a complication of preexisting lung disease. (wikipedia.org)
  • The development of spontaneous hemothorax can result from thoracic malignancies, primary vascular events, coagulopathy, spontaneous pneumothorax and a variety of infectious diseases. (crashingpatient.com)
  • The most common cause of a primary spontaneous pneumothorax is the rupture of small subpleural blebs. (sts.org)
  • Most simply, a pneumothorax can be either primary or secondary: 1. (mhzmediaproduktioner.se)
  • Primary spontaneous pneumothorax occurs without predisposing factors or significant lung disease, and the male sex and smoking are risk factors. (basicmedicalkey.com)
  • Primary spontaneous pneumothorax occurs in patients without underlying pulmonary disease, classically in tall, thin young men in their teens and 20s. (msdmanuals.com)
  • Primary spontaneous pneumothorax also occurs during diving and high-altitude flying. (msdmanuals.com)
  • Secondary spontaneous pneumothorax is more serious than primary spontaneous pneumothorax because it occurs in patients whose underlying lung disease decreases their pulmonary reserve. (msdmanuals.com)
  • [ 59 ] A more recent emergency department (ED) study supports needle aspiration as safe and effective as chest tube placement for primary spontaneous pneumothorax (PSP), conferring the additional benefits of shorter length of stay and fewer hospital admissions. (medscape.com)
Traumatic and iatrogenic1
Complication2
  • Iatrogenic - insertional complication if tube placed into adjacent structure. (rebelem.com)
  • In conclusion, ALE should be kept pneumothorax, pulmonary inter- is no widely accepted management in mind as a complication in infants stitial emphysema and pneumo- strategy in current practice. (who.int)
Penetrating trauma1
Hemothorax3
  • Surgery is indicated at the time of the first episode if the pneumothorax is complicated by persistent air leak, hemothorax, or failure of the lung to re-expand. (sts.org)
  • Indications for a chest tube include pneumothorax, hemothorax, and pleural effusions. (basicmedicalkey.com)
  • When traumatic Pneumothorax follows a penetrating chest injury, hemothorax (blood in the pleural space) may also occur. (lifenurses.com)
Thoracic1
  • Traumatic Pneumothorax may result from insertion of a central venous line, thoracic surgery, or a penetrating chest injury, such as a gunshot or knife wound, or it may follow a transbronchial biopsy. (lifenurses.com)
Signs of pneumothorax1
Development of pneumothorax1
  • Rupture of subpleural tuberculous lesion or cavities are believed to be responsible for development of pneumothorax but the exact mechanism of SSP in pulmonary TB is unclear. (journalcra.com)
Spontaneously3
Dyspnea2
  • Most patients with a spontaneous pneumothorax seek medical attention because of sudden chest pain and dyspnea. (sts.org)
  • The extra air doesn't allow the lungs to inflate normally, so dogs and cats with pneumothorax can have difficulty breathing (dyspnea), an increased respiratory rate, exercise intolerance, chest pain, cyanosis, collapsed lungs, etc. (vin.com)
Occurs when air leaks1
Incidence4
  • The true incidence of dry-needling induced pneumothorax is difficult to calculate due to the probable under-reporting of minor events that do not require significant medical intervention. (myopainseminars.com)
  • The British National Health Service, for example, estimates the incidence of pneumothorax to be less than one in a million per procedure. (myopainseminars.com)
  • MedStar Georgetown was recently ranked in the national Vizient database as #1 in the nation for the prevention of central line-acquired bloodstream infections (CLABSI) and the incidence of iatrogenic pneumothorax (when a patient suffers a lung injury due to medical care in the hospital). (dcha.org)
  • John J, Seifi A. Incidence of iatrogenic pneumothorax in the United States in teaching vs. Non-teaching hospitals from 2000 to 2012. (ijccm.org)
Thoracentesis1
  • Iatrogenic pneumothorax is caused by medical interventions, including transthoracic needle aspiration, thoracentesis, central venous catheter placement, mechanical ventilation, and cardiopulmonary resuscitation. (msdmanuals.com)
Rupture1
CLABSI1
  • The following QIs were analyzed: standardized mortality ratio (SMR), length of ICU stay (LOS-ICU), pressure ulcer (PU) rate, patient fall rate (FR), ICU readmission rate, reintubation rate, ventilator-associated condition (VAC), central line-associated bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), and iatrogenic pneumothorax rate. (ijccm.org)
Patient2
  • Radiograph of a patient with a complete right-sided pneumothorax due to a stab wound. (medscape.com)
  • The size of the tube usually depends on the indication for the procedure (pneumothorax vs. effusion), the effusion characteristics (transudate vs. exudate), and patient condition. (basicmedicalkey.com)
Wounds1
  • The two most common causes of pneumothorax are penetrating chest cavity wounds that allow external air to enter the pleural space and leakage of air from the surface of a diseased or injured lung lobe. (samelacurve.de)
Secondary spontaneous2
  • A PSP occurs in individuals with no known underlying pulmonary disease, while a Secondary Spontaneous Pneumothorax (SSP) develops in patients with underlying lung disease. (journalcra.com)
  • Secondary spontaneous pneumothorax occurs in patients with underlying pulmonary disease. (msdmanuals.com)
Clinical2
  • Pneumothorax represents a common clinical problem. (nih.gov)
  • Spontaneous pneumothorax can be seen in both dogs and cats and occurs when air enters the chest cavity with no clinical history of trauma or iatrogenic penetration into the chest cavity. (samelacurve.de)
Pulmonary parenchymal1
  • Vascular, visceral and pulmonary parenchymal iatrogenic damage have all been reported. (litfl.com)
Blunt1
Esophagus1
  • Closed pneumothorax: air is leaking from a hole in a lung cyst, bronchus, trachea, esophagus, or lung tissue into the chest cavity. (vin.com)
Mediastinal3
  • In pneumothorax, air enters the pleural space from outside the chest or from the lung itself via mediastinal tissue planes or direct pleural perforation. (msdmanuals.com)
  • Pneumothorax is the accumulation of gas in the pleural cavity, leading to the collapse of lung tissue, displacement of the mediastinum to the healthy side, compression of the mediastinal blood vessels, lowering of the diaphragm dome, which ultimately causes a disorder of respiratory function and blood circulation. (medic-journal.com)
  • With spontaneous and especially valvular pneumothorax , subcutaneous and mediastinal emphysema may be observed. (medic-journal.com)
Symptoms4
Persistent air leak1
  • Pneumothorax after lung resection may develop from a persistent air leak or a bronchopleural fistula that does not resolve. (basicmedicalkey.com)
Lungs5
  • Pneumothorax in dogs is a condition where air or gas accumulates in the space between the lungs and the chest wall, causing a collapse of the lung. (drgoodvet.com)
  • Pneumothorax in dogs is a medical condition characterized by air or gas within the pleural cavity, the space between the lungs and the chest wall. (drgoodvet.com)
  • A spontaneous pneumothorax can happen in one or both lungs. (mhzmediaproduktioner.se)
  • Pneumothorax is a collection of air or gas in the space surrounding the lungs. (vin.com)
  • Pneumothorax may result from chest trauma, excessive pressure on the lungs, or underlying lung disease (asthma, chronic obstructive pulmonary disease, etc. (vin.com)
Onset2
  • Spontaneous Pneumothorax sudden onset of air in the pleural space with deflation of the affected lung in the absence of trauma. (lifenurses.com)
  • At the typical onset of pneumothorax, a piercing stabbing pain appears on the side of the affected lung, radiating into the arm, neck, and sternum. (medic-journal.com)
Tube thoracostomy2
Occur1
Infection1
  • This involved the creation of an artificial pneumothorax, aimed at resting the infected lung to limit infection spread and accelerate healing. (wikipedia.org)
Pleurodesis2
Needle aspiration1
  • Observe and allow for spontaneous resolution for less than 50% pneumothorax in otherwise healthy person, Needle aspiration or chest tube drainage may be necessary to achieve reexpansion of collapsed lung if greater than 30% pneumothorax. (lifenurses.com)
Oxygen1
Lung collapse3
  • Pneumothorax is defined by the presence of air in the intrapleural space, with secondary lung collapse. (sts.org)
  • Introduction: Pneumothorax is defined as accumulation of air in the pleural space with secondary lung collapse. (journalcra.com)
  • Pneumothorax is air in the pleural space causing partial or complete lung collapse. (msdmanuals.com)
Pneumomediastinum1
Left untreated1
Artificial2
Tuberculosis1
Diagnosis1
Mechanical ventilation2
  • According to this study, it is safe to closely observe trauma patients with occult pneumothorax on chest radiographs, even if receiving mechanical ventilation. (medscape.com)
  • On postnatal day 28, when the child and dexamethasone treatment were riorated clinically and repeated radiog- had been on mechanical ventilation, a administered, the infant did not tolerate raphy revealed lobar emphysema on the right pneumothorax developed. (who.int)
Collapse1
  • Treatment of pneumothorax in dogs typically involves removing the accumulated air or gas from the chest cavity and stabilizing the lung to prevent further collapse. (drgoodvet.com)
Resolve1
  • It can be concluded that if the pneumothorax does not resolve within this period, then surgical intervention is advisable. (journalcra.com)
Common2
  • 2) What is the most common pathophysiologic cause of pneumothorax? (canadiem.org)
  • They are common selective ventilation of the unaffected A misdiagnosis of pneumothorax in preterm neonates with RDS during lung with conventional ventilation, should be avoided. (who.int)
Accumulation1
  • Traumatic pneumothorax in dogs is a critical condition involving air accumulation in the pleural space, negatively impacting lung function. (drgoodvet.com)