Barotraumatic oesophageal perforation with bilateral tension pneumothorax

Chien, Li-Chien; Chang, Hong‐Tai; Chou, Yi-Pin

doi:10.1510/icvts.2009.212415

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…The highest PRR on patient safety culture composites was obtained on questions assessing teamwork (90.2%). In accordance with our study, teamwork received a higher PRR (76-94%) in other studies conducted in China [20], Turkey [21], Sweden [17] and Taiwan [18]. The reason for this high score might be due to the fact that pharmacy professionals' work in settings that have working stations near each other.…”

Section: Plos Onesupporting

confidence: 89%

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Evaluation of patient safety culture among community pharmacists in Ethiopia: A cross-sectional study

et al. 2020

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The study was aimed to explore patient safety culture of community pharmacists working in Dessie and Gondar towns, Northern Ethiopia. Methods A cross-sectional study was conducted from 1 st to 31 st March 2018. In this cross-sectional survey, the Pharmacy Survey on Patient Safety Culture (PSOPSC), developed by the Agency for Healthcare Research and Quality (AHRQ), was used to collect data. PSOPSC is a self-administered questionnaire. The questionnaire was distributed among staffs who work in community pharmacies of Dessie and Gondar towns. All staffs available on data collection period in the pharmacy were included. The Statistical Package for Social Science (SPSS) software version 25 was used to enter and analyze the data. Results A total of 120 participants were approached and completed the questionnaire. Results from the study showed that high positive response rate was demonstrated in the domains of "Teamwork" (90.2%) followed by physical space and environment (83.1%). On the other hand, the result also identified that there is an enormous problem related to mistake communication (44.8%) and work pressure (45%). In addition, significant difference of percent positive responses were obtained across towns and staff working hours.

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Section: Plos Onesupporting

confidence: 89%

“…The results have also illustrated remarkable variations (45%-90.2%) in the PRR across the domains with mean overall PRR of 68.1%. The mean overall PRR was comparable with study findings reported from Sweden [17], Taiwan [18], United Arab Emirates [19] and Kuwait [6] (61.2%, 65%, 74.7%, and 83.8%, respectively).…”

Section: Plos Onesupporting

confidence: 87%

Evaluation of patient safety culture among community pharmacists in Ethiopia: A cross-sectional study

et al. 2020

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“…However, a delay in diagnosis until after the patient has eaten can lead to salivary leak into the neck tissues causing serious complications such as deep neck abscess or mediastinitis. For this reason a perforation with a delayed diagnosis has been shown to have high rates of mortality (16–75%) and morbidity (35%–66%) [ 7 ]. It is therefore essential to have a high index of clinical suspicion when a patient presents with barotrauma, odynophagia, and blood in pharynx.…”

Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma

Field

Manjaly

Ramdoo

et al. 2014

Case Reports in Otolaryngology

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Introduction. Pharyngoesophageal perforation secondary to barotrauma is a rare phenomenon that can have serious complications if identified late. It is challenging to detect due to nonspecific symptoms. We present a case in which detection proved difficult leading to delayed diagnosis. Case Report. A 27-year-old mechanic presented with haemoptysis, dysphonia, and odynophagia after a car tyre exploded in his face. Flexible nasoendoscopy (FNE) revealed blood in the pharynx, thought to represent mucosal haemorrhage. Initial treatment consisted of IV dexamethasone and antibiotics. After 3 days, odynophagia persisted prompting a CT scan. This revealed a defect in the posterior hypopharynx and surgical emphysema in the deep neck tissues. Contrast swallow confirmed posterior hypopharyngeal leak. NG feeding was commenced until repeated contrast swallow confirmed resolution of the defect. Discussion. Prompt nonsurgical management of pharyngoesophageal perforation has good outcomes but untreated perforation can have serious complications. FNE should be performed routinely, but only a contrast swallow can diagnose a functional perforation. Clinicians should have a high index of clinical suspicion when patients present with barotrauma and odynophagia. Patients should be kept nil by mouth until perforation has been excluded. Conclusion. When faced with cases of facial barotrauma, clinicians should have a low threshold for further imaging to exclude pharyngoesophageal perforation.

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“…Chien et al concluded that optimal tool for the diagnosis of the esophageal perforation is the fluoroscopic esophagography. [6]…”

Section: Discussionmentioning

confidence: 99%

“…Surgical repair is difficult in case of delayed diagnosis, which is associated with high mortality rate (16%–75%) and morbidity rate (35%–66%). [6]…”

Section: Discussionmentioning

confidence: 99%

Esophageal perforation following bite of inner tube of automobile tyre: An unusual cause of barotrauma

Kadian

Agarwal

Rattan

et al. 2010

J Indian Assoc Pediatr Surg

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An 8-year-old child presented with severe chest pain and respiratory distress after he accidentally bit an automobile tyre tube which burst into his mouth. The chest radiograph revealed left-sided pneumothorax. Both esophagogram and computed tomogram (CT) scan revealed a perforation of the distal third of esophagus with extravasation of contrast on left side. The patient was treated conservatively with gastrostomy feeds and antibiotics for 5 weeks with a good response.

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Barotraumatic oesophageal perforation with bilateral tension pneumothorax

Cited by 5 publications

References 10 publications

Evaluation of patient safety culture among community pharmacists in Ethiopia: A cross-sectional study

Evaluation of patient safety culture among community pharmacists in Ethiopia: A cross-sectional study

Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma

Esophageal perforation following bite of inner tube of automobile tyre: An unusual cause of barotrauma

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