Abstract
Pneumothorax is a frequent and potentially fatal complication of mechanical ventilation in patients with acute respiratory distress syndrome (ARDS). Prompt recognition and treatment of pneumothoraces is necessary to minimize morbidity and mortality. The radiologic and clinical signs of pneumothoraces in ARDS patients may have unusual and subtle features. Furthermore, small pneumothoraces in these patients can cause severe hemodynamic or pulmonary compromise. Sparse clinical literature exists on when or how to treat pneumothoraces once they develop in patients with ARDS. In this article, the authors review the pathogenesis, radiologic signs, clinical significance, and treatment of pneumothoraces in ARDS patients. Treatment options include traditional tube thoracostomy, open thoracotomy, and image-guided percutaneous catheters.
Original language | English |
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Pages (from-to) | 9-20 |
Number of pages | 12 |
Journal | Journal of Intensive Care Medicine |
Volume | 18 |
Issue number | 1 |
DOIs | |
State | Published - 2003 |
Keywords
- Adult respiratory distress syndrome
- Interventional radiology
- Pneumothorax
- Pneumothorax drainage
- Radiologic catheters
- Thoracostomy
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine