Rare pulmonary barotrauma after explosive decompression: a case report

Autor: Jakub Tlapák, Boris Oniščenko, Petr Došel, Pavel Požár, Petr Chmátal, Michal Hájek
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Pulmonary Medicine, Vol 20, Iss 1, Pp 1-5 (2020)
Druh dokumentu: article
ISSN: 1471-2466
DOI: 10.1186/s12890-020-01321-5
Popis: Abstract Background Pneumothorax as a consequence of pulmonary barotrauma during explosive decompression military crew training in a hypobaric chamber is an extremely rare and sparsely diagnosed complication. Extensive bilateral tissue damage is even more unexpected. Case presentation A 26-year-old active duty Air Force pilot was performing an explosive decompression simulation from 8000 ft. (2438.4 m) to 25,000 ft. (7620 m) in a 1.5 s interval. The training was interrupted due to the pilot’s apparent health complications. After transfer to the emergency department, a CT scan showed bilateral lung barotrauma with emphysema. Conclusions The case report shows extensive emphysema and pneumothorax after a rapid decompression done for training purposes. It is a possible but rare complication. The cause remains unclear, with suspicion of a predisposed lung disease.
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