Occult pneumothorax in the blunt trauma patient: Tube thoracostomy or observation?

Injury

Volumn 40, Issue 9, 2009, Pages 928-931

  Wilson, Heather ^a   Ellsmere, James ^a   Tallon, John ^a   Kirkpatrick, Andrew ^b  

^a DALHOUSIE UNIVERSITY   (Canada)

^b FOOTHILLS HOSPITAL   (Canada)

Author keywords

Blunt trauma; Chest tube; Occult pneumothorax; Thoracostomy tube

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; INJURY SCALE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; OBSERVATION; OCCULT PNEUMOTHORAX; OUTCOME ASSESSMENT; PNEUMOTHORAX; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; THORAX BLUNT TRAUMA; THORAX DRAINAGE; TREATMENT OUTCOME; TUBE;

ADULT; FEMALE; HUMANS; INCIDENTAL FINDINGS; INJURY SEVERITY SCORE; LENGTH OF STAY; MALE; MIDDLE AGED; PNEUMOTHORAX; RETROSPECTIVE STUDIES; THORACIC INJURIES; THORACOSTOMY; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME; WOUNDS, NONPENETRATING;

EID: 67650960667     PISSN: 00201383     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.injury.2009.04.005     Document Type: Article

References (24)

1. American College of Surgeons. Advanced trauma life support (ATLS) student manual. Thoracic Trauma. 7th ed. (2004), American College of Surgeons, Chicago, IL p. 103-114
2. Ball C.G., Hameed S.M., Evans D., et al. Occult pneumothorax in the mechanically ventilated trauma patient. Can J Surg 46 (2003) 373-379
3. Ball C.G., Kirkpatrick A.W., Laupland K.B., et al. Factors related to the failure of radiographic recognition of occult posttraumatic pneumothoraces. Am J Surg 189 (2005) 541-546 discussion 6
4. Brasel K.J., Stafford R.E., Weigelt J.A., et al. Treatment of occult pneumothoraces from blunt trauma. J Trauma 46 (1999) 987-990 discussion 90-1
5. Bridges K.G., Welch G., Silver M., et al. CT detection of occult pneumothorax in multiple trauma patients. J Emerg Med 11 (1993) 179-186
6. Calhoon J.H., and Trinkle J.K. Pathophysiology of chest trauma. Chest Surg Clin N Am 7 (1997) 199-211
7. Collins J.A., and Samra G.S. Failure of chest X-rays to diagnose pneumothoraces after blunt trauma. Anaesthesia 53 (1998) 74-78
8. Collins J.C., Levine G., and Waxman K. Occult traumatic pneumothorax: immediate tube thoracostomy versus expectant management. Am Surg 58 (1992) 743-746
9. Cuschieri J. Tube thoracostomy. In: Karmy-Jones R., Nathens A., and Stern E. (Eds). Thoracic trauma and critical care (2002), Kluwer Academic Publishers, Boston, Mass 45-47
10. Enderson B.L., Abdalla R., Frame S.B., et al. Tube thoracostomy for occult pneumothorax: a prospective randomized study of its use. J Trauma 35 (1993) 726-729 discussion 9-30
11. Etoch S.W., Bar-Natan M.F., Miller F.B., and Richardson J.D. Tube thoracostomy. Factors related to complications. Arch Surg 130 (1995) 521-525 discussion 5-6
12. Garramone Jr. R.R., Jacobs L.M., and Sahdev P. An objective method to measure and manage occult pneumothorax. Surg Gynecol Obstet 173 (1991) 257-261
13. Guerrero-Lopez F., Vazquez-Mata G., Alcazar-Romero P.P., et al. Evaluation of the utility of computed tomography in the initial assessment of the critical care patient with chest trauma. Crit Care Med 28 (2000) 1370-1375
14. Hill S.L., Edmisten T., Holtzman G., and Wright A. The occult pneumothorax: an increasing diagnostic entity in trauma. Am Surg 65 (1999) 254-258
15. Holmes J.F., Brant W.E., Bogren H.G., et al. Prevalence and importance of pneumothoraces visualized on abdominal computed tomographic scan in children with blunt trauma. J Trauma 50 (2001) 516-520
16. Neff M.A., Monk Jr. J.S., Peters K., and Nikhilesh A. Detection of occult pneumothoraces on abdominal computed tomographic scans in trauma patients. J Trauma 49 (2000) 281-285
17. Rhea J.T., Novelline R.A., Lawrason J., et al. The frequency and significance of thoracic injuries detected on abdominal CT scans of multiple trauma patients. J Trauma 29 (1989) 502-505
18. Rowan K.R., Kirkpatrick A.W., Liu D., et al. Traumatic pneumothorax detection with thoracic US: correlation with chest radiography and CT-initial experience. Radiology 225 (2002) 210-214
19. Stocchetti N., Pagliarini G., Gennari M., et al. Trauma care in Italy: evidence of in-hospital preventable deaths. J Trauma 36 (1994) 401-405
20. Tocino I.M., Miller M.H., Frederick P.R., et al. CT detection of occult pneumothorax in head trauma. AJR Am J Roentgenol 143 (1984) 987-990
21. Trupka A., Waydhas C., Hallfeldt K.K., et al. Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: results of a prospective study. J Trauma 43 (1997) 405-411 discussion 11-2
22. Voggenreiter G., Aufmkolk M., Majetschak M., et al. Efficiency of chest computed tomography in critically ill patients with multiple traumas. Crit Care Med 28 (2000) 1033-1039
23. Wall S.D., Federle M.P., Jeffrey R.B., and Brett C.M. CT diagnosis of unsuspected pneumothorax after blunt abdominal trauma. AJR Am J Roentgenol 141 (1983) 919-921
24. Wolfman N.T., Myers W.S., Glauser S.J., et al. Validity of CT classification on management of occult pneumothorax: a prospective study. AJR Am J Roentgenol 171 (1998) 1317-1320