Chest drains in traumatic occult pneumothorax

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Occult pneumothorax, revisited

Pneumothorax is a recognized cause of preventable death following chest wall trauma where a simple intervention can be life saving. In cases of trauma patients where cervical spine immobilization is mandatory, supine AP chest radiograph is the most practical initial study. It is however not as sensitive as CT chest for early detection of a pneumothorax. "Occult" pneumothorax is an accepted defi...

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Ultrasound diagnosis of occult pneumothorax.

OBJECTIVES Pneumothorax can be missed by bedside radiography, and computed tomography is the current alternative. We asked whether lung ultrasound could be of any help in this situation. DESIGN Retrospective study. SETTING The medical intensive care unit of a university-affiliated teaching hospital. PATIENTS All patients admitted to the intensive care unit are routinely scanned with whole...

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Occult traumatic pneumothorax: diagnostic accuracy of lung ultrasonography in the emergency department.

BACKGROUND The role of chest ultrasonography (US) in the diagnosis of pneumothorax (PTX) has been established, but how it compares with lung CT scanning in the diagnosis of radiooccult PTX and in the determination of its topographic extension has not yet been completely evaluated. OBJECTIVE To determine the diagnostic accuracy of chest US in the emergency department (ED) in the diagnosis of o...

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Diagnostic accuracy of oblique chest radiograph for occult pneumothorax: comparison with ultrasonography

BACKGRAOUND An occult pneumothorax is a pneumothorax that is not seen on a supine chest X-ray but is detected by computed tomography scanning. However, critical patients are difficult to transport to the computed tomography suite. We previously reported a method to detect occult pneumothorax using oblique chest radiography (OXR). Several authors have also reported that ultrasonography is an eff...

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Neonatal diaphragmatic paralysis caused by chest drains.

A boy delivered at 32 weeks' gestation developed bilateral pneumothoraces that required multiple chest drains. He was dependent on the ventilator for 52 days because of bilateral diaphragmatic paralysis. Electrophysiological studies confirmed phrenic nerve damage. He eventually made a full recovery. It is likely that this damage was caused by the insertion of the chest drains.

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ژورنال

عنوان ژورنال: Emergency Medicine Journal

سال: 2006

ISSN: 1472-0205,1472-0213

DOI: 10.1136/emj.2005.033449