Mechanical ventilation-associated pneumothorax presenting with paroxysmal supraventricular tachycardia in patients with acute respiratory failure.
10.12701/yujm.2015.32.2.106
- Author:
Jeong Ho EOM
1
;
Myung Goo LEE
;
Chang Youl LEE
;
Kyong Min KWAK
;
Won Jae SHIN
;
Jung Wook LEE
;
Seong Hoon KIM
;
Sang Hyeon CHOI
;
So Young PARK
Author Information
1. Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.
- Publication Type:Case Report
- Keywords:
Pneumothorax;
Supraventricular tachycardia;
Artificial respiration
- MeSH:
Critical Illness;
Diagnosis;
Electrocardiography;
Humans;
Intensive Care Units;
Physical Examination;
Pneumothorax*;
Positive-Pressure Respiration;
Prevalence;
Radiography, Thoracic;
Respiration, Artificial;
Respiratory Insufficiency*;
Tachycardia, Supraventricular*;
Ultrasonography
- From:Yeungnam University Journal of Medicine
2015;32(2):106-110
- CountryRepublic of Korea
- Language:English
-
Abstract:
The prevalence of pneumothorax cases among Intensive Care Unit patients who require mechanical ventilation ranges from 4%-15%. A pneumothorax remains one of the most serious complications of positive pressure ventilation. It can be diagnosed in a critically ill patient through a physical examination or radiographic studies that include chest radiographs, ultrasonography, or computed tomography scanning. However, in a critically ill patient, the diagnosis of a pneumothorax is often complicated by other diseases and by difficulties in imaging sick and unconscious patients. Although electrocardiogram changes associated with a pneumothorax have been described for many years, there has been no report of such among patients who require mechanical ventilation. In this paper, we report 2 cases of a spontaneous pneumothorax with paroxysmal supraventricular tachycardia in patients who required invasive mechanical ventilation due to acute respiratory failure.
