Management of traumatic pneumothorax in isolated blunt chest trauma
Journal Title: The European Research Journal - Year 2019, Vol 5, Issue 2
Abstract
Objectives: Pneumothorax is an important complication of blunt chest trauma. The aim of this study was to report our experience in treatment strategy and outcomes of traumatic pneumothorax. Methods: A total of 78 patients who developed pneumothorax due to isolated blunt chest trauma were evaluated in terms of age, gender, size of pneumothorax, treatment methods, complications and length of hospital stay. The size of pneumothorax was calculated with computer-aided volumetry. Results: Tube thoracostomy was performed for 48 patients while observation was undertaken for 30 cases. Chest tubes were inserted in 6 patients after 24 hours following the traumatic event. A total of 8 patients who developed prolonged air leakage and hemothorax as complications underwent video-assisted thoracoscopic surgery. None of the patients developed any mortality or morbidity. Conclusions: Traumatic pneumothorax demands prompt diagnosis and treatment. Monitoring all patients even with small sizes of traumatic pneumothorax for at least 24 hours onset of their initial assessment and applying chest tubes for cases who have pneumothorax larger than 50% at first examination should be an appropriate modality for treatment. Moreover, the minimally invasive approach of video-assisted thoracoscopic surgery benefits to overcome the complications of thoracic trauma.
Authors and Affiliations
Murat Sarıçam, Berker Özkan, Yaşar Türk
Keywords
Related Articles
- EP ID EP502140
- DOI 10.18621/eurj.375947
- Views 85
- Downloads 0
A virtual pathway reduced the need for physical review in patients with a suspected scaphoid fracture
Objectives: Suspected scaphoid fractures are a common reason for referral from the emergency department to fracture clinics. Few patients actually have a fracture. Cross sectional imaging has the potential to improve ear...
Spontaneous uvula hematoma: an unusual case
Hematomas in upper aerodigestive tract are not rare especially in patients with cardiologic conditions.Without comorbidities, it can also be seen after trauma cases. Sponatenous hematoma is a rare clinical condition that...
Coenzyme Q10 deficiency in elderly: Can nutritional supplementation play a role? Mini review
Coenzyme Q10 (CoQ10), an important mitochondrial redox component, plays a pivotal role in cellular energy production; moreover, it is the only lipid-soluble antioxidant endogenously synthesized in humans. Given its funct...
Transapical transcatheter aortic valve implantation in a high-risk patient with aortic and mitral regurgitation: usage of the JenaValve™ system
JenaValveTM system is a second-generation transcatheter heart valve that provides a successful deployment not only in calcified stenotic aortic valves but also in non-calcified, severe regurgitant aortic valves. We perfo...
Could there be any relationship between nutritional deficiencies and idiopathic chest pain in children?
Objectives: Chest pain in childhood is a frequent cause of referral to pediatric cardiology departments although cardiac etiology is very rare. Etiology is usually unidentified and named as ‘idiopatic chest pain’. It is...