Utility of cervical spinal and abdominal computed tomography in diagnosing occult pneumothorax in patients with blunt trauma: Computed tomographic imaging protocol matters

Journal of Trauma and Acute Care Surgery

Volumn 73, Issue 4, 2012, Pages 874-879

  Akoglu, Haldun ^a   Akoglu, Ebru Unal ^a   Evman, Serdar ^b   Akoglu, Tayfun ^d   Denizbasi, Arzu ^a   Guneysel, Ozlem ^a   Onur, Ozge ^a   Onur, Ender ^c  

^a MARMARA UNIVERSITY   (Turkey)

^b Ümraniye Education and Research Hospital ^*  (Turkey)

^c Fatih Sultan Mehmet Education and Research Hospital   (Turkey)

^d Tirebolu State Hospital   (Turkey)

Author keywords

abdominal computed tomography; cervical computed tomography; Pneumothorax

Indexed keywords

ABDOMEN; ABDOMINAL COMPUTED TOMOGRAPHY; ADULT; ARTICLE; BLUNT TRAUMA; CERVICAL SPINE; CERVICAL SPINE COMPUTED TOMOGRAPHY; CHEST COMPUTED TOMOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; EMERGENCY PATIENT; FEMALE; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; OCCULT PNEUMOTHORAX; PNEUMOTHORAX; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY;

ADOLESCENT; ADULT; CERVICAL VERTEBRAE; DIAGNOSIS, DIFFERENTIAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; PNEUMOTHORAX; RADIOGRAPHY, ABDOMINAL; RADIOGRAPHY, THORACIC; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; ROC CURVE; SPINAL FRACTURES; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 84867057894     PISSN: 21630755     EISSN: 21630763     Source Type: Journal    
DOI: 10.1097/TA.0b013e3182569ff2     Document Type: Article

References (22)

1. Plurad D, Green D, Demetriades D, Rhee P. The increasing use of chest computed tomography for trauma: is it being overutilized? J Trauma. 2007;62:631-635. (Pubitemid 46568864)
2. Ball CG, Kirkpatrick AW, Fox DL, Laupland KB, Louis LJ, Andrews GD, et al. Are occult pneumothoraces truly occult or simply missed? J Trauma. 2006;60:294-298; discussion 8-9.
3. Chan SS. Emergency bedside ultrasound to detect pneumothorax. Acad Emerg Med. 2003;10:91-94. (Pubitemid 36077436)
4. Ball CG, Hameed SM, Evans D, Kortbeek JB, Kirkpatrick AW. Occult pneumothorax in the mechanically ventilated trauma patient. Can J Surg. 2003;46:373-379. (Pubitemid 37462785)
5. Cooke DA, Cooke JC. The supine pneumothorax. Ann R Coll Surg Engl. 1987;69:130-134. (Pubitemid 17111201)
6. Tocino IM, Miller MH, Fairfax WR. Distribution of pneumothorax in the supine and semirecumbent critically ill adult. AJR Am J Roentgenol. 1985;144:901-905. (Pubitemid 15032451)
7. de Moya MA, Seaver C, Spaniolas K, Inaba K, Nguyen M, Veltman Y, et al. Occult pneumothorax in trauma patients: development of an objective scoring system. J Trauma. 2007;63:13-17. (Pubitemid 47057555)
8. Shanmuganathan K, Mirvis SE. Imaging diagnosis of nonaortic thoracic injury. Radiol Clin North Am. 1999;37:533-551, vi. (Pubitemid 29250206)
9. Ball CG, Roberts DJ, Kirkpatrick AW, Feliciano DV, Kortbeek JB, Datta I, et al. Can cervical spine computed tomography assist in detecting occult pneumothoraces? Injury. 2012;43:51-54.
10. Ball CG, Kirkpatrick AW, LauplandKB, Fox DI, Nicolaou S, Anderson IB, et al. Incidence, risk factors, and outcomes for occult pneumothoraces in victims of major trauma. J Trauma. 2005;59:917-924; discussion 24-25. (Pubitemid 43048710)
11. Ball CG, Kirkpatrick AW, Laupland KB, Fox DL, Litvinchuk S, Dyer DM, et al. Factors related to the failure of radiographic recognition of occult posttraumatic pneumothoraces.AmJ Surg. 2005;189:541-546; discussion 6. (Pubitemid 40602941)
12. Demetriades D, Gomez H, Velmahos GC, Asensio JA, Murray J, Cornwell EE 3rd, et al. Routine helical computed tomographic evaluation of the mediastinum in high-risk blunt trauma patients. Arch Surg. 1998; 133:1084-1088. (Pubitemid 28480473)
13. Ball CG, Kirkpatrick AW, Feliciano DV. The occult pneumothorax: what have we learned? Can J Surg. 2009;52:E173-E179.
14. Como JJ, Leukhardt WH, Anderson JS, Wilczewski PA, Samia H, Claridge JA. Computed tomography alone may clear the cervical spine in obtunded blunt trauma patients: a prospective evaluation of a revised protocol. J Trauma. 2011;70:345-349; discussion 9-51.
15. Duane TM, Wilson SP, Mayglothling J, Wolfe LG, Aboutanos MB, Whelan JF, et al. Canadian Cervical Spine rule compared with computed tomography: a prospective analysis. J Trauma. 2011;71:352-355; discussion 5-7.
16. Hashem R, Evans CC, Farrokhyar F, Kahnamoui K. Plain radiography does not add any clinically significant advantage to multidetector row computed tomography in diagnosing cervical spine injuries in blunt trauma patients. J Trauma. 2009;66:423-428.
17. Hennessy D, Widder S, Zygun D, Hurlbert RJ, Burrowes P, Kortbeek JB. Cervical spine clearance in obtunded blunt trauma patients: a prospective study. J Trauma. 2010;68:576-582.
18. Sekula RF Jr, Daffner RH, Quigley MR, Rodriguez A, Wilberger JE, Oh MY, et al. Exclusion of cervical spine instability in patients with blunt trauma with normal multidetector CT (MDCT) and radiography. Br J Neurosurg. 2008;22:669-674.
19. CT Imaging Protocols of Harborview Medical Center Department of Radiology. 2011. Available from: http://www.hmcrad.org/protocols/CT-protocols/ CTprotocols.htm. Accessed June 7, 2012.
20. Taviloglu K, Ertekin C. Current status and future options for trauma and emergency surgery in Turkey. Ulus Travma Acil Cerrahi Derg. 2008; 14:10-13. (Pubitemid 351303881)
21. Barrios C Jr, Pham J, Malinoski D, Dolich M, Lekawa M, Cinat M. Ability of a chest X-ray and an abdominal computed tomography scan to identify traumatic thoracic injury. Am J Surg. 2010;200:741-744; discussion 4-5.
22. Neff MA, Monk JS Jr, Peters K, Nikhilesh A. Detection of occult pneumothoraces on abdominal computed tomographic scans in trauma patients. J Trauma. 2000;49:281-285.