Mechanical ventilation-associated pneumothorax presenting with paroxysmal supraventricular tachycardia in patients with acute respiratory failure

Eom, Jeong Ho; Lee, Myung Goo; Lee, Chang Youl; Kwak, Kyong Min; Shin, Won Jae; Lee, Jung Wook; Kim, Seong Hoon; Choi, Sang Hyeon; Park, So Young

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자료유형: 학술저널

저자정보: Eom, Jeong Ho (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) Lee, Myung Goo (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) Lee, Chang Youl (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) Kwak, Kyong Min (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) Shin, Won Jae (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) Lee, Jung Wook (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) Kim, Seong Hoon (Division o) Choi, Sang Hyeon Park, So Young

저널정보: 영남대학교 의과대학 영남의대학술지 영남의대학술지 제32권 제2호

발행연도: 2015.1

수록면: 106 - 110 (5page)

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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.

#Pneumothorax #Supraventricular tachycardia #Artificial respiration

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