Pneumothorax in patients with acute respiratory distress syndrome: Pathophysiology, detection, and treatment

Kenneth J. Woodside, Eric VanSonnenberg, Kenneth S. Chon, David B. Loran, Irena M. Tocino, Joseph B. Zwischenberger

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations

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 languageEnglish
Pages (from-to)9-20
Number of pages12
JournalJournal of Intensive Care Medicine
Volume18
Issue number1
DOIs
StatePublished - 2003

Keywords

  • Adult respiratory distress syndrome
  • Interventional radiology
  • Pneumothorax
  • Pneumothorax drainage
  • Radiologic catheters
  • Thoracostomy

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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