Occult Pneumothoraces in Acute Trauma Patients

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Occult Pneumothoraces in Acute Trauma Patients

INTRODUCTION Many traumatic pneumothoraces (PTX) are not seen on initial chest radiograph (CR) (occult PTX) but are detected only on computed tomography (CT). Although CR remains the first tool for detecting PTX, most trauma patients with significant thoracoabdominal injuries will receive both CT and CR. The primary objective of this study was to retrospectively determine the effectiveness of C...

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Occult pneumothoraces in patients with penetrating trauma: Does mechanism matter?

BACKGROUND Supine anteroposterior (AP) chest radiography is an insensitive test for detecting posttraumatic pneumothoraces (PTXs). Computed tomography (CT) often identifies occult pneumothoraces (OPTXs) not diagnosed by chest radiography. All previous literature describes the epidemiology of OPTX in patients with blunt polytrauma. Our goal was to identify the frequency of OPTXs in patients with...

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Occult pneumothoraces in ventilated pediatric trauma patients: a review.

BACKGROUND Currently there is no clinical consensus on how to treat occult pneumothoraces in adults, and even less research has been done in children. We sought to understand the outcomes of severely injured, ventilated children with occult pneumothoraces. METHODS Using the Alberta Trauma Registry, we retrospectively reviewed the charts of all ventilated pediatric patients at a children's hos...

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Treatment of occult pneumothoraces from blunt trauma.

BACKGROUND Occult pneumothoraces (OPTXs) are seen on abdominal computed tomographic (CT) scans but not on routine chest x-ray films. Optimal treatment for blunt trauma OPTXs has not been defined. We hypothesized that OPTXs could be safely observed without need for a chest tube (CT). METHODS A prospective trial randomized blunt trauma patients with OPTXs to CT scan or observation. Patients wer...

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Predictors of "occult" intra-abdominal injuries in blunt trauma patients.

OBJECTIVE to assess predictors of intra-abdominal injuries in blunt trauma patients admitted without abdominal pain or abnormalities on the abdomen physical examination. METHODS We conducted a retrospective analysis of trauma registry data, including adult blunt trauma patients admitted from 2008 to 2010 who sustained no abdominal pain or abnormalities on physical examination of the abdomen a...

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ژورنال

عنوان ژورنال: Western Journal of Emergency Medicine

سال: 2011

ISSN: 1936-900X,1936-9018

DOI: 10.5811/westjem.2011.9.6781