Use of multidetector computed tomography to guide management of pneumothorax

Cai, Wenli; Moya, Marc de

doi:10.1097/mcp.0b013e32836094be

Cited by 5 publications

(2 citation statements)

References 39 publications

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“…In that context, the reported incidence of occult pneumothorax has varied from 4% in injured children to 64% in mechanically ventilated victims of polytrauma. 12 Regardless, the current gold standard for the diagnosis of pneumothorax is multidetector CT. 13 This imaging modality also allows accurate measurement of their volume. 13 However, the transfer of unstable critically ill patients to the CT suite is not always feasible and has been particularly challenging during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Severe COVID-19 pneumonia complicated by cardiomyopathy and a small anterior pneumothorax

Rajendram

Hussain

2021

BMJ Case Rep

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Although, cardiac injury, pneumothorax and pneumomediastinum are associated with COVID-19, differentiation of their symptoms and signs from those of COVID-19 itself is challenging. Without a high index of suspicion, cardiomyopathy and anterior pneumothorax are easily missed. These complications may be underdiagnosed in patients with COVID-19. Cardiomyopathy and pneumothorax may cause or exacerbate respiratory failure. If their management is delayed, cardiac arrest can occur. To increase the awareness of these issues, we describe the course and imaging of a 39-year-old woman with severe COVID-19 who developed cardiomyopathy and a small anterior pneumothorax with pneumomediastinum. Transthoracic echocardiography is technically challenging in the presence of anterior pneumothorax. Furthermore, although CT is the gold standard for the diagnosis of pneumothorax, this is not always feasible in critically ill patients. Lateral decubitus chest X-rays and lung ultrasound may facilitate the diagnosis of pneumothorax at the bedside of patients with COVID-19.

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Section: Discussionmentioning

confidence: 99%

Severe COVID-19 pneumonia complicated by cardiomyopathy and a small anterior pneumothorax

Rajendram

Hussain

2021

BMJ Case Rep

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“…Ultrasonography has a known role in the diagnosis of pneumothorax reaching a sensitivity of 95.3% and a specificity of 91%, identifying up to 63% of hidden pneumothorax cases [15]. However, chest tomography presents a near 100% sensitivity and a similar specificity for the diagnosis of pneumothorax; this is the reason why some studies suggest that chest CT is the gold standard for the diagnosis of this entity [16]. In our reported case, the addition of chest CT in order to confirm the presence of hemopneumothorax allowed inferring the oblique route of the stab wound through the findings of subcutaneous hematoma on the entry site and emphysema over the contralateral chest muscle tissue.…”

Section: Discussionmentioning

confidence: 99%

Contralateral Traumatic Hemopneumothorax

Alexander

Andrés

Giovanni

et al. 2018

Case Reports in Emergency Medicine

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Pneumothorax is the entry of air into the virtual space between the visceral and the parietal pleurae, which can occur spontaneously or to a greater extent in a traumatic way. In daily clinical practice it is frequent to find injuries that generate traumatic pneumothorax that is ipsilateral to the lesion. However, there are case reports of contralateral pneumothorax that occurred in procedures such as insertion of pacemakers, or in cases of pneumonectomy. The following is the case report of a 37-year-old man who was admitted with a sharp wound to the right paravertebral region who developed a left haemopneumothorax due to a tangential course of the injuring agent. Adequate clinical judgment was followed, and several imaging studies were carried out, leading to the diagnosis of traumatic pneumothorax that was contralateral to the described injury.

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Case study: The detection and treatment of an anterior pneumothorax in a patient with Coronavirus Disease 2019 pneumonia

Rajendram,

Hussain

2024

Features, Transmission, Detection, and Case Studies in COVID-19

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Use of multidetector computed tomography to guide management of pneumothorax

Abstract: The MDCT volumetric quantification of pneumothoraces is a new concept in the care of chest trauma patients and has the potential to improve pneumothorax management. Further clinical studies are needed to establish a MDCT-based clinical guideline for pneumothorax management.

Cited by 5 publications

References 39 publications

Severe COVID-19 pneumonia complicated by cardiomyopathy and a small anterior pneumothorax

Severe COVID-19 pneumonia complicated by cardiomyopathy and a small anterior pneumothorax

Contralateral Traumatic Hemopneumothorax

Case study: The detection and treatment of an anterior pneumothorax in a patient with Coronavirus Disease 2019 pneumonia

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