Traumatic pneumothorax - Revision history

ClaireLewis at 21:40, 13 October 2019

2019-10-13T21:40:10Z

← Revisión anterior		Revisión del 21:40 13 oct 2019
Línea 7:		Línea 7:
	#Closed		#Closed
	#Occult		#Occult
	#*Positive pressure ventilation (e.g. [[intubation]]) can convert an occult pneumothorax to a tension pneumothorax		#*Positive pressure ventilation (e.g. [[intubation]]) can convert an occult pneumothorax to a [[tension pneumothorax]]

	==Clinical Features==		==Clinical Features==
	*Rib fracture and penetrating trauma most common causes		*[[Rib fracture]] and penetrating trauma most common causes
	*Isolated pneumothorax does not cause severe symptoms until >40% of hemithorax is occupied		*Isolated pneumothorax does not cause severe symptoms until >40% of hemithorax is occupied

Línea 43:		Línea 43:
	*Decision to intubate		*Decision to intubate
	**Intubation can lead to positive pressure which may worsen a stable traumatic pneumothorax		**Intubation can lead to positive pressure which may worsen a stable traumatic pneumothorax
	**If patient stable, ~~perferrable~~ to just perform [[Thoracostomy\|thoracostomy]]		**If patient stable, preferable to just perform [[Thoracostomy\|thoracostomy]]
	**If GCS < 8 or patient having difficulty, they should be intubated		**If GCS < 8 or patient having difficulty, they should be intubated

2019-07-20T13:06:37Z

Evaluation

← Revisión anterior		Revisión del 13:06 20 jul 2019
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	*Occult pneumothorax after a stab wound may be delayed for up to 6 hours		*Occult pneumothorax after a stab wound may be delayed for up to 6 hours
	**If patient decompensates, obtain repeat imaging		**If patient decompensates, obtain repeat imaging

	{{Pneumothorax diagnosis}}		{{Pneumothorax diagnosis}}
			{{Lung ultrasound pneumothorax}}
	{{Estimating pneumothorax size}}		{{Estimating pneumothorax size}}

2019-07-18T19:15:57Z

2016-07-26T10:53:57Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 10:53 26 jul 2016
Línea 17:		Línea 17:
	{{Thoracic trauma DDX}}		{{Thoracic trauma DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Occult pneumothorax after a stab wound may be delayed for up to 6 hours		*Occult pneumothorax after a stab wound may be delayed for up to 6 hours
	**If patient decompensates, obtain repeat imaging		**If patient decompensates, obtain repeat imaging

2016-07-09T15:46:13Z

Text replacement - "==Treatment==" to "==Management=="

← Revisión anterior		Revisión del 15:46 9 jul 2016
Línea 25:		Línea 25:
	{{Estimating pneumothorax size}}		{{Estimating pneumothorax size}}

	==~~Treatment~~==		==Management==
	''[[Supplemental oxygen]] with [[non-rebreather]] for all''		''[[Supplemental oxygen]] with [[non-rebreather]] for all''
	===[[Tension pneumothorax]]===		===[[Tension pneumothorax]]===

2016-03-22T16:11:58Z

Text replacement - "Category:Pulm" to "Category:Pulmonary"

2016-01-12T05:41:33Z

Disposition

← Revisión anterior		Revisión del 05:41 12 ene 2016
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	==Disposition==		==Disposition==
			Admit

	{{Flying instructions after pneumothorax}}		{{Flying instructions after pneumothorax}}

2015-11-02T07:03:05Z

intubate

← Revisión anterior		Revisión del 07:03 2 nov 2015
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	**''Very'' small AND does not require mechanical ventilation		**''Very'' small AND does not require mechanical ventilation
	**Unchanged on repeat [[CXR]] in 6 hours		**Unchanged on repeat [[CXR]] in 6 hours
			*Decision to intubate
			**Intubation can lead to positive pressure which may worsen a stable traumatic pneumothorax
			**If patient stable, perferrable to just perform [[Thoracostomy\|thoracostomy]]
			**If GCS < 8 or patient having difficulty, they should be intubated

	{{Chest tube size table}}		{{Chest tube size table}}

2015-08-17T17:29:29Z

2015-05-14T02:56:57Z

Closed traumatic pneumothorax

← Revisión anterior		Revisión del 02:56 14 may 2015
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	**Will be transported by air or over a long distance		**Will be transported by air or over a long distance
	*Observation if:		*Observation if:
	**Very small AND does not require mechanical ventilation		**''Very'' small AND does not require mechanical ventilation
	**Unchanged on repeat [[CXR]] in 6 hours		**Unchanged on repeat [[CXR]] in 6 hours

← Revisión anterior		Revisión del 19:15 18 jul 2019
Línea 53:		Línea 53:

	{{Flying instructions after pneumothorax}}		{{Flying instructions after pneumothorax}}

			==Complications==
			*[[Reexpansion pulmonary edema]]

	==See Also==		==See Also==