Moore FO, Goslar PW, Coimbra R, Velmahos G, Brown CV, Coopwood TB Jr, et al. 2003 Jul-Aug. 70 (4):431-8. Tension pneumothorax is classically characterized by hypotension and hypoxia. Roberts DJ, Leigh-Smith S, Faris PD, Ball CG, Robertson HL, Blackmore C, Dixon E, Kirkpatrick AW, Kortbeek JB, Stelfox HT. Catheter aspiration for simple pneumothorax. Sedrakyan A, van der Meulen J, Lewsey J, Treasure T. Video assisted thoracic surgery for treatment of pneumothorax and lung resections: systematic review of randomised clinical trials. Thoracoscopic pleurodesis for primary spontaneous pneumothorax with high recurrence risk: a prospective randomized trial. Tension pneumothorax most commonly occurs in patients receiving positive-pressure ventilation (with mechanical ventilation or particularly during resuscitation). Check the full list of possible causes and conditions now! Pneumothorax, especially tension pneumothorax is fatal; complications that can occur due to pneumothorax and tube thoracostomy are: Diagnosing and managing traumatic and iatrogenic pneumothoraces require multidisciplinary coordination and teamwork. Tension pneumothorax as a complication of colonoscopy. Chest. This chest radiograph has 2 abnormalities: (1) tension pneumothorax and (2) potentially life-saving intervention delayed while waiting for x-ray results. Tension pneumothorax is a clinical diagnosis requiring emergent needle decompression, and therapy should never be delayed for x-ray confirmation. Prospective evaluation of thoracic ultrasound in the detection of pneumothorax. 10 (4):R112. 2009 Jun. Advanced trauma life support (ATLS): the ninth edition. Subcutaneous emphysema. [QxMD MEDLINE Link]. Significant pneumothorax can cause mediastinal shift leading to impaired venous return and hemodynamic compromise. Contralateral recurrence of primary spontaneous pneumothorax. 5 (2):183-6. 2004 Mar. Ferrie EP, Collum N, McGovern S. The right place in the right space? Abdominal distention may occur from increased pressure in the thoracic cavity producing caudal deviation of the diaphragm and from secondary pneumoperitoneum produced as air dissects across the diaphragm through the pores of Kohn. Curr Opin Pulm Med. On pressure control ventilation, tension pneumothorax causes sudden drop in tidal volume. The severely symptomatic patients will present with shortness of breath. [QxMD MEDLINE Link]. 10 (6):1372-9. [QxMD MEDLINE Link]. The breach acts as a one-way valve. Dalton AM, Hodgson RS, Crossley C. Bochdalek hernia masquerading as a tension pneumothorax. British Thoracic Society guidelines on respiratory aspects of fitness for diving. Eguchi M, Abe T, Tedokon Y, Miyagi M, Kawamoto H, Nakasone Y. 2. CXR can demonstrate one or more of the following: A chest computed tomography can be done if the diagnosis is unclear on the X-ray.
