Journal of Emergencies, Trauma, and Shock

PICTORIAL CME
Year
: 2008  |  Volume : 1  |  Issue : 1  |  Page : 19--20

Ultrasound diagnosis of traumatic pneumothorax


Michael B Stone 
 Department of Emergency Medicine, SUNY Downstate, 450 Clarkson Avenue Box 1228, Brooklyn, NY 11203, USA

Correspondence Address:
Michael B Stone
Department of Emergency Medicine, SUNY Downstate, 450 Clarkson Avenue Box 1228, Brooklyn, NY 11203
USA




How to cite this article:
Stone MB. Ultrasound diagnosis of traumatic pneumothorax.J Emerg Trauma Shock 2008;1:19-20


How to cite this URL:
Stone MB. Ultrasound diagnosis of traumatic pneumothorax. J Emerg Trauma Shock [serial online] 2008 [cited 2019 Jun 18 ];1:19-20
Available from: http://www.onlinejets.org/text.asp?2008/1/1/19/41788


Full Text

 Case History



A 36-year-old man presented to our emergency department complaining of right-sided chest pain after a motor vehicle collision. Physical examination revealed bilateral breath sounds and a supine chest radiograph was unremarkable. A 10-5 MHz linear transducer (SonoSite MicroMaxx, Bothell, WA, USA) was used to obtain ultrasound images at the patient's left anterior chest wall [Figure 1], right anterior chest wall [Figure 2] and right lateral chest wall [Figure 3].

 Discussion



Traumatic pneumothorax . Shortly after the primary survey the patient developed dyspnea, tachycardia, and hypoxia. A rush of air was encountered upon entering the right pleural space and a 36-French thoracostomy tube was inserted. The patient's symptoms improved and he was admitted to the Trauma service for further management.

Supine chest radiography has low sensitivity for traumatic pneumothorax. [1] Several studies have demonstrated high sensitivity and specificity for thoracic ultrasound for the detection of occult pneumothorax in critical care, [2] and trauma patients. [3] Absent lung sliding suggests pneumothorax, but can occur in the presence of multiple other conditions such as mainstem intubation, acute respiratory distress syndrome, or pleural adhesions. The lung point is an ultrasound sign with 100% specificity for pneumothorax, [4] and can be used to determine the size of the pneumothorax. [5]

References

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