Pneumothorax Diagnosis and Treatment in the ICU

Pneumothorax in ICU ,[object Object],[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object]

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ICU pts : High Risk Group ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

De Lassence et al Anesthesiology. 2006 Jan;104(1):5-13. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pneumothorax in the intensive care unit: incidence & risk factors,

Close Associations for high incidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Types/ Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Spontaneous Pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Mechanical Ventilation Responsible for Pneumothorax ?

Biotrauma Barotrauma and Volutrauma Atelectrauma

Barotrauma and Volutrauma ,[object Object],[object Object]

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Relationship between ventilatory settings and barotrauma in the ARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Mohamed Boussarsar Intensive Care Med. 2002 ;28 (4):406-13.

Pneumothorax Traumatic/ Procedure related ,[object Object],[object Object],[object Object],[object Object]

Pneumothorax; Central Venous Line ,[object Object],[object Object],[object Object],[object Object],Ruesch S, Walder B, Tramer M. Complications of Central Venous Catheters: Internal Jugular versus Subclavian access-A Systematic Review. Crit Care Med. 2002;30:454-60.

Pneumothorax after insertion of central venous catheters in the intensive care unit: association with month of year and week of month ,[object Object],[object Object],Najib T Ayas- Quality and Safety in Health Care 2007; 16 :252-255

Symptoms ,[object Object],[object Object]

Tension Pneumothorax ,[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical picture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology of symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hallmark: air between two pleural spaces ,[object Object],[object Object],[object Object],[object Object],[object Object]

Always look for…. ,[object Object],[object Object],[object Object]

Role of Ultrasound in Diagnosis ,[object Object],[object Object],[object Object]

Pneumothorax Prevention during CVCs ,[object Object],[object Object],[object Object],[object Object]

Ultrasound Guided CVCs ,[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tension pneumothorax; Treatment ,[object Object],[object Object],[object Object],[object Object]

Pulmonary blebs ,[object Object],[object Object],[object Object]

complications of air of pleural parenchyma ,[object Object],[object Object],[object Object],[object Object]

Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Prognosis contd.. ,[object Object],[object Object],[object Object]

CXR with recurrent right-sided pneumothorax, despite thoracostomy tube in place CT scan with giant bullae and anterior pneumothorax after insertion of a second thoracostomy tube

Message ,[object Object],[object Object],[object Object],[object Object]

Pneumothorax Diagnosis and Treatment in the ICU

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Pneumothorax Diagnosis and Treatment in the ICU