Journal
HEART & LUNG
Volume 50, Issue 1, Pages 37-43Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.hrtlng.2020.10.002
Keywords
COVID-19; Pneumothorax; Epidemiology; Mortality; Mechanism; Prevention; Coronavirus disease 2019(COVID-19)
Funding
- Chongqing Education Board new coronavirus infection and prevention emergency scientific research project [KYYJ202006]
- Chongqing Science and Technology Bureau new coronavirus pneumonia epidemic emergency science and technology special the fourth batch of project
- Famous teacher project of Chongqing talent plan
- Chongqing youth and middle-aged medical high-end reserve talent project: respiratory internal medicine
Ask authors/readers for more resources
Pneumothorax is a common and fatal complication in critically ill patients with COVID-19, especially in those requiring invasive mechanical ventilation, often leading to severe symptoms and a high mortality rate.
Background: The clinical characteristics of the patients with COVID-19 complicated by pneumothorax have not been clarified. Objectives: To determine the epidemiology and risks of pneumothorax in the critically ill patients with COVID-19. Methods: Retrospectively collecting and analysing medical records, laboratory findings, chest X-ray and CT images of 5 patients complicated by pneumothorax. Results: The incidence of pneumothorax was 10% (5/49) in patients with ARDS, 24% (5/21) in patients receiving mechanical ventilation, and 56% (5/9) in patients requiring invasive mechanical ventilation, with 80% (4/ 5) patients died. All the 5 patients were male and aged ranging from 54 to 79 years old. Pneumothorax was most likely to occur 2 weeks after the beginning of dyspnea and associated with reduction of neuromuscular blockers, recruitment maneuver, severe cough, changes of lung structure and function. Conclusions: Pneumothorax is a frequent and fatal complication of critically ill patients with COVID-19. (C) 2020 Published by Elsevier Inc.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available