Pneumothorax in Patients With Acute Respiratory Distress Syndrome: Pathophysiology, Detection, and Treatment
- 1 January 2003
- journal article
- review article
- Published by SAGE Publications in Journal of Intensive Care Medicine
- Vol. 18 (1), 9-20
- https://doi.org/10.1177/0885066602239120
Abstract
Pneumothorax is a frequent and potentially fatal complication of mechanical ventilation in patients with acute respiratory distress syndrome (ARDS). Prompt recognition and treatment of pneumothoraces is necessary to minimize morbidity and mortality. The radiologic and clinical signs of pneumothoraces in ARDS patients may have unusual and subtle features. Furthermore, small pneumothoraces in these patients can cause severe hemodynamic or pulmonary compromise. Sparse clinical literature exists on when or how to treat pneumothoraces once they develop in patients with ARDS. In this article, the authors review the pathogenesis, radiologic signs, clinical significance, and treatment of pneumothoraces in ARDS patients. Treatment options include traditional tube thoracostomy, open thoracotomy, and image-guided percutaneous catheters.Keywords
This publication has 89 references indexed in Scilit:
- Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress SyndromeThe New England Journal of Medicine, 2000
- Prospective, randomized, controlled clinical trial comparing traditional versus reduced tidal volume ventilation in acute respiratory distress syndrome patientsCritical Care Medicine, 1999
- A multicenter randomized, masked comparison trial of natural versus synthetic surfactant for the treatment of respiratory distress syndromeThe Journal of Pediatrics, 1996
- Interventional radiology of the chest: image-guided percutaneous drainage of pleural effusions, lung abscess, and pneumothorax.American Journal of Roentgenology, 1995
- Prognostic implications of age at detection of air leak in very low birth weight infants requiring ventilatory supportThe Journal of Pediatrics, 1993
- Barotrauma is volutrauma, but which volume is the one responsible?Intensive Care Medicine, 1992
- Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndromeIntensive Care Medicine, 1990
- Interventional Radiology in the Chest and AbdomenThe New England Journal of Medicine, 1990
- Radiographic recognition of pneumothorax in the intensive care unitCritical Care Medicine, 1986
- Pulmonary interstitial emphysema in the adult respiratory distress syndromeCritical Care Medicine, 1985