ArticleWorld journal of critical care medicine2014
Iatrogenic pneumothorax related to mechanical ventilation.
Article in World journal of critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.
- Pulmonary recruitment maneuver reduces the intensity of post-laparoscopic shoulder pain: a systematic review and meta-analysis.BMC anesthesiology · 2023Pooled it
- Sudden Respiratory Impairment due to Simultaneous Airway Obstruction and Tension Pneumothorax in a Patient Who Underwent Tracheostomy.Clinical case reports · 2026Article
- Time-Based Capnography to Diagnose Airway Obstruction During Lung Lobectomy in a Dog.Animals : an open access journal from MDPI · 2025Article
- Outcomes of patients with unstable circulation transported by a physician-staffed helicopter using the keyword method in Japan.Journal of rural medicine : JRM · 2025Article
- Successful Chest Tube Removal Following Iatrogenic Pneumothorax in a Patient on Ventilator Support.Cureus · 2025Article
- Survival prediction model for hypoxemic patients receiving post-extubation oxygen therapy after invasive ventilation: based on the MIMIC database.Journal of thoracic disease · 2025Article
- Article
- Deep Sulcus Sign Revealing Occult Pneumothorax After Lumbar Spine Surgery: A Case Report.Cureus · 2025Article
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- Missing Guidewire in a Bulla: A Case Report.Journal of chest surgery · 2025Article
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- Hydropneumothorax in an Isolated Midshaft Clavicle Fracture.Journal of orthopaedic case reports · 2024Article
- Impact of pneumothorax on mortality, morbidity, and hospital resource utilization in COVID-19 patients: a propensity matched analysis of nationwide inpatient sample database.BMC pulmonary medicine · 2024Article
- Mechanical Ventilation during Bronchiolitis: The Macklin Effect.Journal of the Belgian Society of Radiology · 2024Article
- Improved detection of air-filled lesions using computed tomography in dogs with recurrent spontaneous pneumothorax through reduction of pulmonary atelectasis via positive pressure ventilation.Frontiers in veterinary science · 2024Article
- Unexpected Tension Pneumothorax Developed during Anesthetic Induction Aggravated by Positive Pressure Ventilation: A Case Report.Medicina (Kaunas, Lithuania) · 2023Article
- VATS in complicated COVID-19 patients: case series.Updates in surgery · 2023Article
- Spontaneous pneumothorax and COVID-19: Precipitants to a complex HIV-AIDS diagnosis.Radiology case reports · 2023Article
- Unexpected Tension Pneumothorax after Double-Lumen Endotracheal Intubation in Patients with Pulmonary Edema: A Case Report.Medicina (Kaunas, Lithuania) · 2023Article
- An occult iatrogenic pneumothorax as a cosmetic procedure complication.Proceedings (Baylor University. Medical Center) · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pneumothorax is a potentially lethal complication associated with mechanical ventilation. Most of the patients with pneumothorax from mechanical ventilation have underlying lung diseases; pneumothorax is rare in intubated patients with normal lungs. Tension pneumothorax is more common in ventilated patients with prompt recognition and treatment of pneumothorax being important to minimize morbidity and mortality. Underlying lung diseases are associated with ventilator-related pneumothorax with pneumothoraces occurring most commonly during the early phase of mechanical ventilation. The diagnosis of pneumothorax in critical illness is established from the patients' history, physical examination and radiological investigation, although the appearances of a pneumothorax on a supine radiograph may be different from the classic appearance on an erect radiograph. For this reason, ultrasonography is beneficial for excluding the diagnosis of pneumothorax. Respiration-dependent movement of the visceral pleura and lung surface with respect to the parietal pleura and chest wall can be easily visualized with transthoracic sonography given that the presence of air in the pleural space prevents sonographic visualization of visceral pleura movements. Mechanically ventilated patients with a pneumothorax require tube thoracostomy placement because of the high risk of tension pneumothorax. Small-bore catheters are now preferred in the majority of ventilated patients. Furthermore, if there are clinical signs of a tension pneumothorax, emergency needle decompression followed by tube thoracostomy is widely advocated. Patients with pneumothorax related to mechanical ventilation who have tension pneumothorax, a higher acute physiology and chronic health evaluation II score or PaO2/FiO2 < 200 mmHg were found to have higher mortality.
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Registered trials
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