Original contributionThe pathophysiology of tension pneumothorax in ventilated swine☆
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Cited by (52)
Traumatic Pneumothorax: A Review of Current Diagnostic Practices And Evolving Management
2021, Journal of Emergency MedicineCitation Excerpt :Evidence of mediastinal shift on chest x-ray (CXR) study without corresponding symptomatology should still prompt clinicians to consider being proactive. Based on swine models, hemodynamic deterioration can ensue quickly after the PTX reaches approximately 57% of lung capacity, regardless of initial vital signs (6). If a PTX is suspected based on history, signs, and symptoms in a stable patient, a confirmatory test with ultrasound (US), CXR study, or computed tomography (CT) is warranted.
Diagnostic accuracy of a novel software technology for detecting pneumothorax in a porcine model
2017, American Journal of Emergency MedicineCitation Excerpt :The primary outcome was the diagnostic accuracy of the iFAST computer algorithm interpretation of M-mode and B-mode scans, considered independently. As we did not have access to computed tomography, the reference standard was presence of surgically-induced pneumothorax as confirmed by intrapleural pressure monitor [7-9]. One of the two ultrasonography fellowship-trained emergency physicians also confirmed presence of pneumothorax by identification of all three of the following: absent lung sliding, barcode sign, and lung point.
The Use of Internal Jugular Vein Ultrasonography to Anticipate Low or High Central Venous Pressure during Mechanical Ventilation
2016, Journal of Emergency MedicinePleural puncture that excludes the ablation zone decreases the risk of pneumothorax after percutaneous microwave ablation in porcine lung
2015, Journal of Vascular and Interventional RadiologyCitation Excerpt :There is resultant accumulation of air in the intrapleural space (ie, a pneumothorax, or rarely a bronchopleural fistula) (16). Histologic analysis of the ablated lung in this swine study demonstrated evidence of pleural injury and thermal ablation that disrupted the pleural collagen and mesothelium, causing a rent in the visceral pleura that can communicate with a ruptured alveolus to yield an iatrogenic pneumothorax (17,18). The findings in this swine study are consistent with prior studies in rabbit lung models using RF ablation (19).
Pneumothorax, Chylothorax, Hemothorax, and Fibrothorax
2015, Murray and Nadel's Textbook of Respiratory Medicine: Volume 1,2, Sixth Edition
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Presented at the SAEM Annual Meeting, San Antonio, Texas, May 1995.