Pneumothorax in Patients With Acute Respiratory Distress Syndrome: Pathophysiology, Detection, and Treatment
| Autor: | Eric vanSonnenberg, Irena Tocino, David B. Loran, Kenneth S. Chon, Joseph B. Zwischenberger, Kenneth J. Woodside |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
ARDS Critical Care Critical Illness medicine.medical_treatment Thoracostomy 030204 cardiovascular system & hematology Radiography Interventional Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine medicine Humans Clinical significance Thoracotomy Intensive care medicine Mechanical ventilation Respiratory Distress Syndrome medicine.diagnostic_test business.industry Hemodynamics Pneumothorax Interventional radiology medicine.disease Respiration Artificial Causality 030228 respiratory system Chest Tubes Disease Progression Radiography Thoracic Emergencies Tomography X-Ray Computed business Complication |
| Zdroj: | Journal of Intensive Care Medicine. 18:9-20 |
| ISSN: | 1525-1489 0885-0666 |
| DOI: | 10.1177/0885066602239120 |
| Popis: | Pneumothorax is a frequent and potentially fatal complication of mechanical ventilation in patients with acute respiratory distress syndrome (ARDS). Prompt recognition and treatment of pneumothoraces is necessary to minimize morbidity and mortality. The radiologic and clinical signs of pneumothoraces in ARDS patients may have unusual and subtle features. Furthermore, small pneumothoraces in these patients can cause severe hemodynamic or pulmonary compromise. Sparse clinical literature exists on when or how to treat pneumothoraces once they develop in patients with ARDS. In this article, the authors review the pathogenesis, radiologic signs, clinical significance, and treatment of pneumothoraces in ARDS patients. Treatment options include traditional tube thoracostomy, open thoracotomy, and image-guided percutaneous catheters. |
| Databáze: | OpenAIRE |
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