Document Detail


Occult traumatic pneumothorax: immediate tube thoracostomy versus expectant management.
MedLine Citation:
PMID:  1456598     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Occult pneumothorax is pneumothorax identified by computed tomography but not seen on conventional chest radiographs. Twenty-seven occult traumatic pneumothoraces in 26 patients were identified retrospectively at the authors' level I trauma center. Of these, 24 patients survived to discharge or transfer; 2 died of brain injury. Eleven patients were treated immediately with tube thoracostomy (TT) and 13 were observed with interval chest radiography. The authors' data support the conclusion that it is safe to withhold immediate TT in patients who are hemodynamically stable. Close clinical observation and interval chest radiography can identify those patients who require subsequent TT. Prospective study of larger numbers of patients is needed to confirm the safety and cost efficacy of this approach.
Authors:
J C Collins; G Levine; K Waxman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  58     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-01-07     Completed Date:  1993-01-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  743-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of California Irvine, Orange.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
California / epidemiology
Clinical Protocols / standards
Female
Humans
Injury Severity Score
Length of Stay / statistics & numerical data
Male
Middle Aged
Physical Examination / standards
Pneumothorax / epidemiology,  radiography,  therapy*
Radiography, Thoracic / standards
Retrospective Studies
Survival Rate
Thoracic Injuries / complications*,  epidemiology,  radiography
Thoracostomy / adverse effects,  standards*
Tomography, X-Ray Computed / standards*
Trauma Centers
Treatment Outcome
Wounds, Nonpenetrating / complications*,  epidemiology,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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