CovidSeniorV1, Main, Curation, bibRecord, 000146

Expectant management of pneumothorax in intubated COVID-19 positive patients: a case series.

Identifieur interne : 000146 ( Main/Curation ); précédent : 000145; suivant : 000147

Expectant management of pneumothorax in intubated COVID-19 positive patients: a case series.

Auteurs : Colby Elder [États-Unis] ; Sheina Bawa [États-Unis] ; Douglas Anderson [États-Unis] ; Stephen Atkinson [États-Unis] ; Joshua Etzel [États-Unis] ; Troy Moritz [États-Unis]

Source :

Journal of cardiothoracic surgery [ 1749-8090 ] ; 2020.

RBID : pubmed:32958067

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (thérapie), Mâle (MeSH), Observation (surveillance clinique) (MeSH), Pandémies (MeSH), Pneumopathie virale (thérapie), Pneumothorax (thérapie), Pneumothorax (étiologie), Sujet âgé (MeSH), Ventilation à pression positive (effets indésirables).
MESH :
- effets indésirables : Ventilation à pression positive.
- thérapie : Infections à coronavirus, Pneumopathie virale, Pneumothorax.
- étiologie : Pneumothorax.
- Adulte d'âge moyen, Betacoronavirus, Femelle, Humains, Mâle, Observation (surveillance clinique), Pandémies, Sujet âgé.

English descriptors

KwdEn :
- Aged (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (therapy), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (therapy), Pneumothorax (etiology), Pneumothorax (therapy), Positive-Pressure Respiration (adverse effects), Watchful Waiting (MeSH).
MESH :
- adverse effects : Positive-Pressure Respiration.
- etiology : Pneumothorax.
- therapy : Coronavirus Infections, Pneumonia, Viral, Pneumothorax.
- Aged, Betacoronavirus, Female, Humans, Male, Middle Aged, Pandemics, Watchful Waiting.

Abstract

BACKGROUND

There is an increasing amount of literature describing the pathogenesis of coronavirus disease 2019 (COVID-19) pneumonia and its associated complications. Historically, a small pneumothorax has been shown to be successfully treated without chest tube insertion, but this management has yet to be proven in COVID-19 pneumonia patients. In addition, pneumothorax in an intubated patient with high positive end-expiratory pressure (PEEP) provides additional uncertainty with pursuing non-operative management.

CASE PRESENTATION

In this series we report four cases of patients with respiratory distress who tested positive for COVID-19 via nasopharyngeal swab and developed ventilator-induced pneumothoraces which were successfully managed with observation alone.

CONCLUSIONS

Management of patients with COVID-19 pneumonia on positive pressure ventilation who develop small stable pneumothoraces can be safely observed without chest tube insertion.

DOI: 10.1186/s13019-020-01297-7
PubMed: 32958067
PubMed Central: PMC7504875

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pubmed:32958067

Le document en format XML

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<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Pneumothorax (etiology)</term>
<term>Pneumothorax (therapy)</term>
<term>Positive-Pressure Respiration (adverse effects)</term>
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<term>Betacoronavirus (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Mâle (MeSH)</term>
<term>Observation (surveillance clinique) (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Pneumothorax (thérapie)</term>
<term>Pneumothorax (étiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Ventilation à pression positive (effets indésirables)</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pneumothorax</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Pneumothorax</term>
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<term>Pneumopathie virale</term>
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<term>Female</term>
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<term>Pandemics</term>
<term>Watchful Waiting</term>
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<term>Betacoronavirus</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>There is an increasing amount of literature describing the pathogenesis of coronavirus disease 2019 (COVID-19) pneumonia and its associated complications. Historically, a small pneumothorax has been shown to be successfully treated without chest tube insertion, but this management has yet to be proven in COVID-19 pneumonia patients. In addition, pneumothorax in an intubated patient with high positive end-expiratory pressure (PEEP) provides additional uncertainty with pursuing non-operative management.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CASE PRESENTATION</b>
</p>
<p>In this series we report four cases of patients with respiratory distress who tested positive for COVID-19 via nasopharyngeal swab and developed ventilator-induced pneumothoraces which were successfully managed with observation alone.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Management of patients with COVID-19 pneumonia on positive pressure ventilation who develop small stable pneumothoraces can be safely observed without chest tube insertion.</p>
</div>
</front>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is an increasing amount of literature describing the pathogenesis of coronavirus disease 2019 (COVID-19) pneumonia and its associated complications. Historically, a small pneumothorax has been shown to be successfully treated without chest tube insertion, but this management has yet to be proven in COVID-19 pneumonia patients. In addition, pneumothorax in an intubated patient with high positive end-expiratory pressure (PEEP) provides additional uncertainty with pursuing non-operative management.</AbstractText>
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	Serveur d'exploration sur la COVID chez les séniors
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Serveur d'exploration sur la COVID chez les séniors

Expectant management of pneumothorax in intubated COVID-19 positive patients: a case series.

Expectant management of pneumothorax in intubated COVID-19 positive patients: a case series.

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