GW28-e1211 Delayed pneumothorax in subclavican-vein catheterizations in RFCA for tachyarrhythmia patients

The case illustrates the approach to an intubated patient on mechanical ventilation with desaturation and clinical deterioration. Included is a list of potential etiologies, including airway obstruction, pneumothorax, mucus plug/atelectasis, aspiration or infection, and pulmonary embolus as well as a description of how to systematically evaluate these patients. Various imaging modalities are reviewed, including the findings of a chest X-ray and results of a limited bedside ultrasound. The case highlights the potential development of a delayed pneumothorax or hemothorax, despite an initially normal chest radiograph, particularly with the addition of positive pressure ventilation. The case highlights the importance of the focused assessment with sonography for trauma (FAST) exam.

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Delayed Pneumothorax During General Anesthesia after Chest Injury: A case report

Korean Journal of Anesthesiology ◽

10.4097/kjae.1997.32.6.1028 ◽

1997 ◽

Vol 32 (6) ◽

pp. 1028

Author(s):

Joung Sung Kim ◽

Jae Kun Cho ◽

Keun Sang Lee ◽

Kyu Chang Lee ◽

Po Soon Kang

Keyword(s):

Case Report ◽

General Anesthesia ◽

Chest Injury ◽

Delayed Pneumothorax

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The utility of serial chest X-rays for detection of delayed pneumothorax, haemothorax or haemopneumothorax following penetrating thoracic injury

African Journal of Emergency Medicine ◽

10.1016/j.afjem.2020.07.008 ◽

2020 ◽

Vol 10 (4) ◽

pp. 215-218

Author(s):

Carolyn Lewis ◽

David Lee Skinner

Keyword(s):

Thoracic Injury ◽

X Rays ◽

Delayed Pneumothorax

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Delayed Pneumothorax: A Complication of Subclavian Vein Catheterization

Journal of Parenteral and Enteral Nutrition ◽

10.1177/0148607186010005542 ◽

1986 ◽

Vol 10 (5) ◽

pp. 542-543 ◽

Cited By ~ 4

Author(s):

Ernel S. Lewis

Keyword(s):

Subclavian Vein ◽

Delayed Pneumothorax ◽

Vein Catheterization

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Delayed pneumothorax after percutaneous lung biopsy in the state of California

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2015.12.238 ◽

2016 ◽

Vol 27 (3) ◽

pp. S90 ◽

Cited By ~ 1

Author(s):

B. Pua ◽

E. Tang ◽

A. Bhat ◽

R. Zabih ◽

R. Winokur ◽

...

Keyword(s):

Lung Biopsy ◽

The State ◽

Percutaneous Lung Biopsy ◽

Delayed Pneumothorax

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Delayed Pneumothorax Post Transbronchial Biopsy: A Case Report

Cureus ◽

10.7759/cureus.14614 ◽

2021 ◽

Author(s):

Mohammed Alsaggaf ◽

Ali Khalofa ◽

Rahul Khosla

Keyword(s):

Case Report ◽

Transbronchial Biopsy ◽

Delayed Pneumothorax

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Iatrogenic Delayed Pneumothorax After Transbronchial Biopsy

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/2324709620947634 ◽

2020 ◽

Vol 8 ◽

pp. 232470962094763

Author(s):

Kartikeya Rajdev ◽

Dustin N. Herring ◽

Shubham Lahan ◽

Kyle Wilson ◽

Peter J. Murphy

Keyword(s):

Immunocompromised Patient ◽

Risk Profile ◽

Interesting Case ◽

Transbronchial Biopsy ◽

Low Risk ◽

Everyday Practice ◽

Immunocompromised Patients ◽

The Past ◽

Delayed Pneumothorax

Transbronchial biopsy (TBB) is one of the commonly performed procedures by pulmonologists in everyday practice. Although the procedure has a very low-risk profile, complications often develop in certain patients. Pneumothorax is one such complication pertaining to TBB. As only a small percent of procedures get complicated by pneumothorax, handful of cases have been reported with its delayed occurrence in the past 5 decades. The purpose of our report is to highlight another uncommon yet interesting case of delayed iatrogenic pneumothorax in an immunocompromised patient after TBB. Although the chain of events behind the pathophysiology of delayed pneumothorax largely remain a mystery, its development has been linked to altered immune mechanics as they are frequently recognized in immunocompromised patients.

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