ArticleEmergency medicine international2015
Outcome of concurrent occult hemothorax and pneumothorax in trauma patients who required assisted ventilation.
Article in Emergency medicine international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- TM9SF1 offers utility as an efficient predictor of clinical severity and mortality among acute respiratory distress syndrome patients.Frontiers in immunology · 2024Article
- Position-Dependent Symptoms of Pneumothorax During Mechanical Ventilation: A Case Report.Cureus · 2023Article
- Occult Pneumothorax in Blunt Thoracic Trauma: Clinical Characteristics and Results of Delayed Tube Thoracostomy in a Level 1 Trauma Center.Journal of clinical medicine · 2023Article
- Failure of observation and need for delayed tube thoracostomy in 197 unselected patients with occult pneumothorax: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Chest tube output, duration, and length of stay are similar for pneumothorax and hemothorax seen only on computed tomography vs. chest radiograph.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Occult Pneumothorax in Patients Presenting with Blunt Chest Trauma: An Observational Analysis.Qatar medical journal · 2020Article
- Factors Associated with Chest Tube Placement in Blunt Trauma Patients with an Occult Pneumothorax.Critical care research and practice · 2019Article
- Analysis of oxidative stress-related markers in critically ill polytrauma patients: An observational prospective single-center study.Bosnian journal of basic medical sciences · 2018Observational
- Management of computed tomography-detected pneumothorax in patients with blunt trauma: experience from a community-based hospital.Singapore medical journal · 2018Article
- Intraoperative Tension Pneumothorax in a Patient With Remote Trauma and Previous Tracheostomy.Journal of investigative medicine high impact case reportsArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background. The management and outcomes of occult hemopneumothorax in blunt trauma patients who required mechanical ventilation are not well studied. We aimed to study patients with occult hemopneumothorax on mechanical ventilation who could be carefully managed without tube thoracostomy. Methods. Chest trauma patients with occult hemopneumothorax who were on mechanical ventilation were prospectively evaluated. The presence of hemopneumothorax was confirmed by CT scanning. Hospital length of stay, complications, and outcome were recorded. Results. A total of 56 chest trauma patients with occult hemopneumothorax who were on ventilatory support were included with a mean age of 36 ± 13 years. Hemopneumothorax was managed conservatively in 72% cases and 28% underwent tube thoracostomy as indicated. 29% of patients developed pneumonia, 16% had Acute Respiratory Distress Syndrome (ARDS), and 7% died. Thickness of hemothorax, duration of mechanical ventilation, and development of ARDS were significantly associated with tube thoracostomy in comparison to no-chest tube group. Conclusions. The majority of occult hemopneumothorax can be carefully managed without tube thoracostomy in patients who required positive pressure ventilation. Tube thoracotomy could be restricted to those who had evidence of increase in the size of the hemothorax or pneumothorax on follow-up chest radiographs or developed respiratory compromise.
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Registered trials
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