2012, Number 2
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Med Sur 2012; 19 (2)
Hidden pneumothorax, a frequent but under-diagnosed pathology
Carrillo-Esper R, Sosa-García JO
Language: Spanish
References: 24
Page: 88-92
PDF size: 221.26 Kb.
ABSTRACT
Pneumothorax is a frequent, life-threatening complication in critically
ill patients. Occult pneumothorax has been defined as pneumothoraces
seen on CT scans or chest ultrasound but not on routine
chest radiographs and may rapidly progress to tension pneumothorax.
The phenomenon of occult pneumothorax is well described in
the literature with an incidence of between 2 and 12% in medical
and trauma patients. There are three categories of occult pneumothorax
based in size and location: minuscule, anterior and anterolateral.
Patients with occult pneumothorax requiring positive pressure
ventilation may be managed with tube thoracostomy.
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