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KMID : 1100320150320020106
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Yeungnam University Journal of Medicine
2015 Volume.32 No. 2 p.106 ~ p.110
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Mechanical ventilation-associated pneumothorax presenting with paroxysmal supraventricular tachycardia in patients with acute respiratory failure
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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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Abstract
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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.
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KEYWORD
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Pneumothorax, Supraventricular tachycardia, Artificial respiration
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