Pneumothorax and Barotrauma
Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:
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First Things First (assess for & treat the following)
- Recognize pressure-related injury. Alveolar rupture causes gas to dissect along the bronchovascular bundle, causing:
- Pneumothorax/tension pneumothorax
- Bronchopleural fistula
- Lung & subpleural air cysts
- Pulmonary interstitial emphysema
- Subcutaneous emphysema
- Systemic gas embolism
- Is urgent intervention needed?
- Cardiac arrest (pulseless electrical activity)
- Shock (BP < 80 mmHg; pulse >120)
- Respiratory compromise (hypoxemia/hypercapnia)
- Inability to ventilate; increased plateau (static pressure)
- Radiographic abnormality only?
- Careful monitoring required
- Pneumomediastinum & subcutaneous emphysema have risk of pneumothorax.
- Pneumothorax in mechanically ventilated patient requires a chest tube.