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Clinical Presentation of Patients With Tension Pneumothorax: A Systematic Review

Tuesday, May 19, 2015

Submitted by

Mark Ferguson

Source

Source Name: Annals of Surgery

Source URL: http://journals.lww.com/annalsofsurgery/Fulltext/2015/06000/Clinical_Presentatio…

Author(s)

Roberts, Derek J.; Leigh-Smith, Simon; Faris, Peter D.; Blackmore, Christopher; Ball, Chad G.; Robertson, Helen Lee; Dixon, Elijah; James, Matthew T.; Kirkpatrick, Andrew W.; Kortbeek, John B.; Stelfox, Henry T.

The question in this review was whether patients who experience tension pneumothorax differ in presentation depending on whether they are breathing spontaneously or are on positive pressure ventilation. Assisted ventilation was more often associated with hypoxia, hypotension, and cardiac arrest. These adverse clinical signs frequently arose within minutes of initial clinical presentation in the assisted ventilation cohort.