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Spontaneous pneumothorax in patients of COVID 19 pneumonia
Lung India ; 39(SUPPL 1):S130, 2022.
Article in English | EMBASE | ID: covidwho-1857338
ABSTRACT

Background:

COVID 19 pandemic has put a massive strain on healthcare all over the world. Various complications are being reported in patients of COVID 19 Pneumonia. One such complication is pneumothorax and pneumomediastinum.

Objective:

To study the incidence, clinical profile, management and outcome of patients with pneumothorax in COVID 19 pneumonia.

Method:

We studied 476 diagnosed patients of COVID 19 pneumonia at our hospital between May 2020 and May 2021. All patients were treated as per standard COVID 19 protocol at the time. Clinical examination and serial chest X-Ray and/or CT Chest were done to look for pneumothorax/pneumomediastinum.

Results:

Out of the 476 patients, 18 (3.78%) had developed pneumothorax and/or pneumomediastinum. While most of these patients were on some form of positive pressure ventilation (13 out of the 18), some of them had a HRCT Chest suggestive of either air trapping and/or cyst formation. Three patients had developed bilateral pneumothoraces while on non-invasive ventilator. Nine of the 18 patients expired and nine were discharged.

Conclusion:

Through this article, we would like to emphasize that an acute deterioration in hypoxemia in a COVID-19 patient could indicate a pneumothorax. Pneumothorax as well as pulmonary thromboembolism are reported complications in COVID-19 and clinician vigilance is required during assessment of patients, as both share the common symptom of breathlessness and therefore can mimic each other.
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Collection: Databases of international organizations Database: EMBASE Language: English Journal: Lung India Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: EMBASE Language: English Journal: Lung India Year: 2022 Document Type: Article