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Delayed Tension Pneumothorax - Identification and Treatment in Traumatic Bronchial Injury: An Interesting Presentation.
- Source :
-
Journal of Clinical & Diagnostic Research . Sep2017, Vol. 11 Issue 9, p12-13. 2p. - Publication Year :
- 2017
-
Abstract
- A 13-year-old girl, who did not receive any treatment for few hours following Road Traffic Injury (RTI), reported to the Casualty Department and found to have patent airway with clinically normal C spine, air-hunger (RR 42/minute), trachea deviated to left, distended neck veins and absent breath sounds on the right side. The chest X-ray she carried, done immediately after the injury, showed right sided tension pneumothorax. She was put on oxygen at 11 L/minute and an Intercostal chest tube drainage (ICD) was inserted on right side. Her oxygen saturation (40%) failed to improve. ICD bag showed continuous bubbling and air entry remained absent on the right side. An urgent right thoracotomy was done which revealed right main bronchus tear; the tear was repaired using interrupted Prolene® sutures. Patient recovered well and was discharged 10 days later in a stable condition. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DYSPNEA
*THORACOTOMY
*PNEUMOTHORAX
Subjects
Details
- Language :
- English
- ISSN :
- 0973709X
- Volume :
- 11
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Journal of Clinical & Diagnostic Research
- Publication Type :
- Academic Journal
- Accession number :
- 125673026
- Full Text :
- https://doi.org/10.7860/JCDR/2017/27859.10642