Clinical Characteristics of the Development of Pneumothorax in Mechanically Ventilated Patients in Intensive Care Units / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 13-18, 2014.
Article
in En
| WPRIM
| ID: wpr-652402
Responsible library:
WPRO
ABSTRACT
BACKGROUND: Pneumothorax (PTX) can occur as a complication of positive pressure ventilation in mechanically ventilated patients. METHODS: We retrospectively reviewed the clinical characteristics of patients who developed PTX during mechanical ventilation (MV) in the intensive care unit (ICU). RESULTS: Of the 326 patients admitted (208 men and 118 women; mean age, 65.3 +/- 8.74 years), 15 (4.7%) developed PTX, which was MV-associated in 11 (3.3%) cases (6 men and 5 women; mean age, 68.3 +/- 9.12 years) and procedure-associated in 4. Among the patients with MV-associated PTX, the underlying lung diseases were acute respiratory distress syndrome in 7 patients, interstitial lung disease in 2 patients, and chronic obstructive pulmonary disease in 2 patients. PTX diagnosis was achieved by chest radiography alone in 9 patients and chest computed tomography alone in 2 patients. Nine patients were using assist-control mode MV with the mean applied positive end-expiratory pressure, 9 +/- 4.6 cmH2O and the mean tidal volume, 361 +/- 63.7 ml at the diagnosis of PTX. Two patients died as a result of MV-associated PTX and their systolic pressure was below 80 mmHg and heart rates were less than 80/min. Ten patients were treated by chest tube insertion, and 1 patient was treated by percutaneous pigtail catheter insertion. CONCLUSIONS: PTX can develop in patients undergoing MV, and may cause death. Early recognition and treatment are necessary to prevent hemodynamic compromise in patients who develop PTX.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pneumothorax
/
Respiration, Artificial
/
Respiratory Distress Syndrome
/
Thorax
/
Blood Pressure
/
Radiography
/
Chest Tubes
/
Tidal Volume
/
Retrospective Studies
/
Positive-Pressure Respiration
Type of study:
Diagnostic_studies
/
Observational_studies
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
The Korean Journal of Critical Care Medicine
Year:
2014
Document type:
Article