A prospective analysis of occult pneumothorax, delayed pneumothorax and delayed hemothorax after minor blunt thoracic trauma

European Journal of Cardio-thoracic Surgery

Volumn 25, Issue 5, 2004, Pages 859-864

  Misthos, P ^a,b   Kakaris, S ^a   Sepsas, E ^a   Athanassiadi, K ^a   Skottis, I ^a  

^a IASO GENERAL HOSPITAL   (Greece)

^b NONE   (Greece)

Author keywords

Blunt thoracic trauma; Delayed hemothorax; Occult pneumothorax

Indexed keywords

ADOLESCENT; ADULT; AGED; ALGORITHM; BLUNT TRAUMA; CAUSE OF DEATH; CONFERENCE PAPER; CONTROLLED STUDY; DECORTICATION; EMERGENCY WARD; FEMALE; HEMATOTHORAX; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MORBIDITY; PNEUMOTHORAX; PRIORITY JOURNAL; PROSPECTIVE STUDY; RIB FRACTURE; THORACOCENTESIS; THORAX DRAINAGE; THORAX INJURY; THORAX RADIOGRAPHY;

ADULT; AGED; ALGORITHMS; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOLLOW-UP STUDIES; HEMOTHORAX; HUMANS; MALE; MIDDLE AGED; PNEUMOTHORAX; PROSPECTIVE STUDIES; THORACIC INJURIES; TIME FACTORS; WOUNDS, NONPENETRATING;

EID: 1842634628     PISSN: 10107940     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejcts.2004.01.044     Document Type: Conference Paper

References (24)

1. Marts B., Durham R., Shapiro M., Mazuski J.E., Zuckerman D., Sundaram M., Luchtefeld W.B. Computed tomography in the diagnosis of blunt thoracic injury. Am J Surg. 168:1994;688-692.
2. Shorr R.M., Crittenden M., Indeck M., Hartunian S.L., Rodriguez A. Blunt thoracic trauma: analysis of 515 patients. Ann Surg. 206:1987;200-205.
3. Blair E., Topuzlu C., Davis J.H. Delayed or missed diagnosis in blunt chest trauma. J Trauma. 11:1971;129-145.
4. Hehir M.D., Hollands M.J., Deane S.A. The accuracy of the first chest X-ray in the trauma patient. Aust N Z J Surg. 60:1990;529-532.
5. Garramone R.R., Jacobs L.M., Sahdev P. An objective method to measure and manage occult pneumothorax. Surg Gynecol Obstet. 173:1991;257-261.
6. Rhea J.T., DeLuca S.A., Greene R.E. Determining the size of pneumothorax in the upright patient. Radiology. 144:1982;733-736.
7. Hirshberg A., Wall M.J. Jr., Alen M.K., Mattox K.L. Causes and patterns of missed injuries in trauma. Am J Surg. 168:1994;299-303.
8. Chan R.N.W., Ainscow D., Sikorski J.M. Diagnostic failures in the multiple injured. J Trauma. 20:1980;684-687.
9. Ross R.M., Cordoba A. Delayed life-threatening hemothorax associated with rib fractures. J Trauma. 26:1986;576-578.
10. Mc Loughlin R., Mulcahy R., Kent P., Al-Delamie T., Aherne T. Haemothorax after rib fracture: incidence, timing and prediction. Ir J Med Sci. 156:1987;117-119.
11. Wall S.D., Federle M.P., Jeffrey R.B., Brett C.M. CT diagnosis of unsuspected pneumothorax after blunt abdominal trauma. Am J Roentegenol. 141:1983;919-921.
12. Bridges K.G., Welch G., Silver M., Schinco A., Eposito B. CT detection of occult pneumothorax in multiple trauma patients. J Emerg Med. 11:1993;179-186.
13. Toccino I.M., Miller M.H., Frederick P.R., Bahr A.L., Thomas F. CT detection of occult pneumothorax in head trauma. Am J Roentegenol. 143:1984;987-990.
14. Neff M.A., Monk J.S., Peters K., Nikhilesh A. Detection of occult pneumothoraces on abdominal computed tomographic scans in trauma patients. J Trauma. 49:2000;281-285.
15. Wolfman N.T., Gilpin J.W., Bechtold R.E., Meredith J.W., Ditesheim J.A. Occult pneumothorax in patients with abdominal trauma: CT studies. J Comput Assist Tomogr. 17:1993;56-59.
16. Rhea J.T., Novelline R.A., Lawrason J., Sacknoff R., Oser A. The frequency and significance of thoracic injuries detected on abdominal CT scans of multiple trauma patients. J Trauma. 29:1989;502-505.
17. Brasel K.J., Stafford R.E., Weigelt J.A., Tenquist J.E., Borgstrom D.C. Treatment of occult pneumothoraces from blunt trauma. J Trauma. 46:1999;987-991.
18. Hill S.L., Edmisten T., Holtzman G., Wright A. The occult pneumothorax: an increasing diagnostic entity in trauma. Am Surg. 65:1999;254-258.
19. Johnson G. Traumatic pneumothorax: is a chest drain always necessary? J Accid Emerg Med. 13:1996;173-174.
20. Knottenbeit J.D., VanDerSpuy J.W. Traumatic pneumothorax: a scheme for rapid patient turnover. Injury. 21:1990;77-80.
21. Enderson B.L., Abdalla R., Frame S.B., Casey M.T., Maull K.I. Tube thoracostomy for occult pneumothorax: a prospective randomized study of its use. J Trauma. 35:1993;726-730.
22. Etoch S.W., Bar-Natan M.F., Miller F.B., Richardson J.D. Tube thoracostomy: factors related to complications. Arch Surg. 130:1995;521-526.
23. Collins J.C., Levine G., Waxman K. Occult traumatic pneumothorax: immediate tube thoracostomy versus expectant management. Am Surg. 58:1992;743-746.
24. Simon B.J., Chu Q., Emhoff T.A., Fiallo V.M., Lee K.F. Delayed hemothorax after blunt thoracic trauma. An uncommon entity with significant morbidity. J Trauma. 45:1998;673-676.