The lack of pleural sliding between both the parietal and visceral layers in a patient with traumatic pneumothorax

Gálvez, Carlos; Arenas, Juan; Campo, Jone Del; Maroto, Sergio; Sirera, Marina; Lirio, Francisco

doi:10.21037/asvide.2020.035

Cited by 1 publication

(2 citation statements)

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“…With the exception of small collections due to rib fractures, it's recommended to drain with a large caliber chest tube (24)(25)(26)(27)(28) and if necessary fluid and/or blood infusion. Some cases of high initial output (>1,500 cc) with hemodynamic instability, persistent high output (>200 cc 2-4 hours) or need for repeated blood transfusion, claim for urgent surgical review (3).…”

Section: Resultsmentioning

confidence: 99%

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Diagnostic imaging pathways in the setting of acute chest wall trauma

Galvez¹,

Arenas²,

Campo³

et al. 2020

J Vis Surg

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Recognition of thoracic injuries during trauma assessment must be a priority due to the potential severity of intrathoracic or intrabdominal lesions. While primary care is carried out following the Advanced Trauma Life Support (ATLS) protocols, special attention must be taken to detect life-threatening conditions such as tension pneumothorax, pericardial tamponade or massive hemothorax, guided by clinical suspicion, assessment of the trauma mechanism and noninvasive imaging techniques available in situ or in the emergency department. Chest X-ray and bedside ultrasound (focused assessment in sonography for trauma, FAST) are the initial tests for unstable patients, higher clinical suspicion or high-energy mechanism of accident. After initial resuscitation, during the secondary surgery, chest computed tomography (CT) is the cornerstone test for assessing the presence of intrathoracic lesions secondary to penetrating or highenergy trauma, that can potentially threaten patient's life. Concise and early detection can be life-saving and determines the final results. In this article we review these techniques and their indications.

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Section: Resultsmentioning

confidence: 99%

“…Figure5The lack of pleural sliding between both the parietal and visceral layers in a patient with traumatic pneumothorax(27).Available online: http://www.asvide.com/watch/33075…”

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confidence: 99%