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Acute severe asthma complicated with tension pneumothorax and hemopneumothorax

A 47-year-old patient presented to the emergency room with an attack of acute severe asthma. In spite of all primary measures, the patient was deteriorating. Arterial blood gases showed hypercarbia and acidemia. The patient was shifted to the intensive care unit connected to noninvasive ventilation...

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Autor principal: Metry, Ayman Anis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625329/
https://www.ncbi.nlm.nih.gov/pubmed/31334052
http://dx.doi.org/10.4103/IJCIIS.IJCIIS_83_18
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author Metry, Ayman Anis
author_facet Metry, Ayman Anis
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description A 47-year-old patient presented to the emergency room with an attack of acute severe asthma. In spite of all primary measures, the patient was deteriorating. Arterial blood gases showed hypercarbia and acidemia. The patient was shifted to the intensive care unit connected to noninvasive ventilation for 3 h, without any obvious improvement. Decision was taken to intubate, ventilate, and keep her deeply sedated. On the 4(th) day of ventilation, the patient developed sudden tension pneumothorax and she was near to arrest. Management for tension pneumothorax was immediate and successful. After that, chest X-ray and computerized tomography scan showed hemopneumothorax, for which a chest tube was inserted in both chest sides and blood transfusion was initiated immediately. After this incidence, the patient's parameters improved dramatically. Four days later, the patient was extubated and kept in intensive care unit till the chest tubes were removed and then shifted to the ward and discharged on day 15 from admission.
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spelling pubmed-66253292019-07-22 Acute severe asthma complicated with tension pneumothorax and hemopneumothorax Metry, Ayman Anis Int J Crit Illn Inj Sci Case Report A 47-year-old patient presented to the emergency room with an attack of acute severe asthma. In spite of all primary measures, the patient was deteriorating. Arterial blood gases showed hypercarbia and acidemia. The patient was shifted to the intensive care unit connected to noninvasive ventilation for 3 h, without any obvious improvement. Decision was taken to intubate, ventilate, and keep her deeply sedated. On the 4(th) day of ventilation, the patient developed sudden tension pneumothorax and she was near to arrest. Management for tension pneumothorax was immediate and successful. After that, chest X-ray and computerized tomography scan showed hemopneumothorax, for which a chest tube was inserted in both chest sides and blood transfusion was initiated immediately. After this incidence, the patient's parameters improved dramatically. Four days later, the patient was extubated and kept in intensive care unit till the chest tubes were removed and then shifted to the ward and discharged on day 15 from admission. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6625329/ /pubmed/31334052 http://dx.doi.org/10.4103/IJCIIS.IJCIIS_83_18 Text en Copyright: © 2019 International Journal of Critical Illness and Injury Science http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Metry, Ayman Anis
Acute severe asthma complicated with tension pneumothorax and hemopneumothorax
title Acute severe asthma complicated with tension pneumothorax and hemopneumothorax
title_full Acute severe asthma complicated with tension pneumothorax and hemopneumothorax
title_fullStr Acute severe asthma complicated with tension pneumothorax and hemopneumothorax
title_full_unstemmed Acute severe asthma complicated with tension pneumothorax and hemopneumothorax
title_short Acute severe asthma complicated with tension pneumothorax and hemopneumothorax
title_sort acute severe asthma complicated with tension pneumothorax and hemopneumothorax
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625329/
https://www.ncbi.nlm.nih.gov/pubmed/31334052
http://dx.doi.org/10.4103/IJCIIS.IJCIIS_83_18
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