The cogent practitioner will understand that "Volutrauma" is a more accurate term for describing the pathogenesis of pneumothorax
as a complication of mechanical ventilation and that ventilator-induced lung damage is more likely to occur when pre-existing acute lung injury is present.
After discharge from the hospital, 66% had no symptoms, whereas about one-third had at least one symptom, including pain/pleural effusion (23%), hemoptysis (5%), pneumopathy (3%), and pneumothorax
Furthermore, the signs and symptoms associated with coccidioidomycosis hydropneumothorax are nonspecific, and chest radiography may initially only show pneumothorax
, as in our case, followed by pleural fluid collection on subsequent studies.
2) A chest x-ray should always be obtained in these cases because a pneumothorax
would suggest a deeper origin than a break in the oropharyngeal mucosa.
Although the retrospective nature of this study prevents accurate analysis of these events, we hypothesise that capnothoraces associated with MHH repair have a different aetiology from other cases of laparoscopy-associated pneumothorax
and are characterised by rapid onset and significant haemodynamic compromise.
Key words: Synovial sarcoma, Pulmonary metastasis, Spontaneous pneumothorax
Within a short space of time, the patient deteriorated due to tension pneumothorax
threatening respiratory arrest.
Pleural abnormalities, including pleural effusions and pneumothorax
, are common findings.
Residency program is liable for pneumothorax
because it violated its own rules regarding supervision of procedures.
Between January 2000 and May 2006, 243 patients sustaining a pneumothorax
, hemothorax, or a combination of the two and requiring thoracostomy tube placement were admitted to Baylor University Medical Center at Dallas.
We believe there were significant failings - in particular the decisions to send Alan home while he still had both a chest infection and MRSA and then, when he was readmitted, to insert a Hickman line that inadvertently penetrated his right lung resulting in a pneumothorax
or collapsed lung, which then filled with fluid, the failure of the chest drains to remove the fluid and the delays in seeking specialist advice from a thoracic surgeon.
However, this medial puncture technique is potentially responsible for increased risk of lead fracture, pneumothorax
and hemothorax (6).