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2018, Number 5

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Rev Clin Esc Med 2018; 8 (5)

Neumotórax Oculto Una Revisión Dinámica

Sánchez GLR, Gómez HW

Language: Spanish
References: 35
Page: 1-6
PDF size: 353.83 Kb.


ABSTRACT

Pneumothorax is one of the most frequent entities in lung trauma with potential lethal effects. Occult pneumothorax is the presence of a missed pneumothorax by thoracic x-ray, but diagnosed by ultrasound or tomography. Its epidemiology has changed, with an increased incidence of 78%. Adverse conditions in trauma care increases this incidence. Ultrasound is an effective and timely method for the diagnosis of occult pneumothorax, especially in the primary assessment of the unstable patient. The forefront of sensitivity and specificity belongs to the tomography, when in doubt and when hemodynamic stability is reached, this is the preferred diagnostic method. Occult pneumothorax treatment has been controversial. The expectant management has proven efficient; however patients on mechanical ventilation will require chest tube insertion. The clinician must consider tomographic classification in order to take an early and timely treatment decision.


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