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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
COVID-19 pneumonia and pneumothorax: case series
Leyla Talan1, F Gonca Şaşal Solmaz2, Uğur Ercan2
1Department of Internal Medicine, Division of Intensive Care, Ankara University Faculty of Medicine, Ankara, Turkey.
Pneumothorax and pneumomediastinum occurred in 9 COVID-19 ICU patients. Conservative management, including limiting PEEP, was successful in all cases without progression or hemodynamic instability.
Area of Science:
- Critical Care Medicine
- Pulmonology
- Infectious Diseases
Background:
- Barotrauma is a known complication in critically ill patients with ARDS.
- Pneumothorax and pneumomediastinum appear more frequent and present differently in COVID-19 patients.
Observation:
- This study reviewed 9 ICU patients with pneumothorax/pneumomediastinum during COVID-19.
- Patients were invasively ventilated; 5 were male, median age 66.6 years.
- All cases were managed conservatively with PEEP and pressure limits, monitored via daily CXR.
Findings:
- No increase in pneumothorax/pneumomediastinum size was observed.
- No hemodynamic instability or tension pneumothorax occurred.
- The primary cause of mortality was sepsis from secondary bacterial infections.
Implications:
- Acute deterioration in COVID-19 patients warrants investigation for pneumothorax/pneumomediastinum.
- Conservative management is a viable option for stable patients with these barotrauma complications.
- Early detection and conservative treatment can prevent worsening of barotrauma in COVID-19.
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