Iatrogenic pneumothorax in mechanically ventilated children: Incidence, risk factors and other outcomes

Heart and Lung: Journal of Acute and Critical Care

Volumn 44, Issue 3, 2015, Pages 238-242

  da Silva, Paulo Sérgio Lucas ^a   de Aguiar, Vânia Euzébio ^a   Fonseca, Marcelo Cunio Machado ^b  

^a HOSPITAL DO SERVIDOR PÚBLICO ESTADUAL DE SÃO PAULO   (Brazil)

^b FEDERAL UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Children; CVC; Iatrogenic pneumothorax; IP; Mechanical ventilation; MV; Pediatric intensive care unit; PICU; Quality improvement; VAP

Indexed keywords

ACUTE LUNG INJURY; ARTICLE; ARTIFICIAL VENTILATION; BAROTRAUMA; CHEST TUBE; CHILD; CHILDHOOD MORTALITY; COHORT ANALYSIS; CONTROLLED STUDY; CRITICALLY ILL PATIENT; DECOMPRESSION SURGERY; FEMALE; HUMAN; IATROGENIC DISEASE; INCIDENCE; INTENSIVE CARE UNIT; INVASIVE PROCEDURE; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PNEUMOTHORAX; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESPIRATORY DISTRESS; RISK ASSESSMENT; RISK FACTOR; SCHOOL CHILD; THORAX DRAINAGE; VEIN PUNCTURE; VENTILATED PATIENT; ADVERSE EFFECTS; CASE CONTROL STUDY; INFANT; LENGTH OF STAY; PRESCHOOL CHILD; PREVALENCE;

CASE-CONTROL STUDIES; CHILD, PRESCHOOL; COHORT STUDIES; FEMALE; HUMANS; IATROGENIC DISEASE; INCIDENCE; INFANT; INTENSIVE CARE UNITS, PEDIATRIC; LENGTH OF STAY; MALE; PNEUMOTHORAX; PREVALENCE; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; RISK FACTORS;

EID: 84929504180     PISSN: 01479563     EISSN: 15273288     Source Type: Journal    
DOI: 10.1016/j.hrtlng.2015.01.005     Document Type: Article

References (28)

1. de Lassence A., Timsit J.F., Tafflet M., et al. Pneumothorax in the intensive care unit: incidence, risk factors, and outcome. Anesthesiology 2006, 104:5-13.
2. Hsu C.W., Sun S.F., Lee D.L., Chu K.A., Lin H.S. Clinical characteristics, hospital outcome and prognostic factors of patients with ventilator-related pneumothorax. Minerva Anestesiol 2014, 80:29-38.
3. Miller M.R., Zhan C. Pediatric patient safety in hospitals: a national picture in 2000. Pediatrics 2004, 113:1741-1746.
4. Chen K.Y., Jerng J.S., Liao W.Y., et al. Pneumothorax in the ICU: patient outcomes and prognostic factors. Chest 2002, 122:678-683.
5. Celik B., Sahin E., Nadir A., Kaptanoglu M. Iatrogenic pneumothorax: etiology, incidence and risk factors. Thorac Cardiovasc Surg 2009, 57:286-290.
6. Friedman B., Berdahl T., Simpson L.A., et al. Annual report on health care for children and youth in the United States: focus on trends in hospital use and quality. Acad Pediatr 2011, 11:263-279.
7. Sedman A., Harris J.M., Schulz K., et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pediatrics 2005, 115:135-145.
8. Scanlon M.C., Harris J.M., Levy F., Sedman A. Evaluation of the agency for healthcare research and quality pediatric quality indicators. Pediatrics 2008, 121:e1723-e1731.
9. Kao J.H., Kao H.K., Chen Y.W., et al. Impact and predictors of prolonged chest tube duration in mechanically ventilated patients with acquired pneumothorax. Respir Care 2013, 58:2093-2100.
10. Pollack M.M., Ruttimann U.E., Getson P.R. Pediatric risk of mortality (PRISM) score. Crit Care Med 1988, 16:1110-1116.
11. Leteurtre S., Martinot A., Duhamel A., et al. Validation of the paediatric logistic organ dysfunction (PELOD) score: prospective, observational, multicentre study. Lancet 2003, 362:192-197.
12. Mayhall C.G. Ventilator-associated pneumonia or not? Contemporary diagnosis. Emerg Infect Dis 2001, 7:200-204.
13. van der Lee J.H., Wesseling J., Tanck M.W., Offringa M. Efficient ways exist to obtain the optimal sample size in clinical trials in rare diseases. JClin Epidemiol 2008, 61:324-330.
14. Nan B., Lin X. Analysis of case-control age-at-onset data using a modified case-cohort method. Biom J 2008, 50:311-320.
15. Agency for Healthcare Research and Quality. Patient safety indicator v4.5. Benchmark data tables. Available at: ; Accessed 01.09.14. http://www.qualityindicators.ahrq.gov/Downloads/Modules/PSI/V45/Version_45_Benchmark_.
16. Giraud T., Dhainaut J.F., Vaxelaire J.F., et al. Iatrogenic complications in adult intensive care units: a prospective two-center study. Crit Care Med 1993, 21:40-51.
17. Miller M.P., Sagy M. Pressure characteristics of mechanical ventilation and incidence of pneumothorax before and after the implementation of protective lung strategies in the management of pediatric patients with severe ARDS. Chest 2008, 134:969-973.
18. Gordon C.E., Feller-Kopman D., Balk E.M., Smetana G.W. Pneumothorax following thoracentesis: a systematic review and meta-analysis. Arch Intern Med 2010, 22, 170:332-339.
19. Anzueto A., Frutos-Vivar F., Esteban A., et al. Incidence, risk factors and outcome of barotrauma in mechanically ventilated patients. Intensive Care Med 2004, 30:612-619.
20. Gil Cano A., Monge Garcia M.I., Gracia Romero M., Diaz Monrove J.C. Incidence, characteristics and outcome of barotrauma during open lung ventilation. Med Intensiva 2012, 36:335-342.
21. Sigaut S., Skhiri A., Stany I., et al. Ultrasound guided internal jugular vein access in children and infant: a meta-analysis of published studies. Paediatr Anaesth 2009, 19:1199-1206.
22. McGee D.C., Gould M.K. Preventing complications of central venous catheterization. NEngl J Med 2003, 348:1123-1133.
23. Costello J.M., Clapper T.C., Wypij D. Minimizing complications associated with percutaneous central venous catheter placement in children: recent advances. Pediatr Crit Care Med 2013, 14:273-283.
24. AHRQ Quality Indicators Toolkit. Selected Best Practices and Suggestions for Improvement. PSI 6: Iatrogenic Pneumothorax. Available at ; Accessed September,2013. http://www.ahrq.gov/professionals/systems/hospital/qitoolkit/d4e-pneumothorax-bestpractices.pdf.
25. Troianos C.A., Hartman G.S., Glas K.E., et al. Special articles: guidelinesforperforming ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and theSociety of Cardiovascular Anesthesiologists. Anesth Analg 2012, 114:46-72.
26. Statement on recommendations for use of real-time ultrasound guidance for placement of central venous catheters. Bull Am Coll Surg 2008, 93:35-36. College's Committee on Perioperative Care.
27. Hsu C.W., Sun S.F. Iatrogenic pneumothorax related to mechanical ventilation. World J Crit Care Med 2014, 3:8-14.
28. Randolph A.G. Management of acute lung injury and acute respiratory distress syndrome in children. Crit Care Med 2009, 37:2448-2454.