It may be a complication of other types of pneumothorax. Tension pneumothorax occurs when air is drawn into the pleural space from a lacerated lung or through a small opening or wound in the chest wall. It may result from blunt trauma, penetrating chest or abdominal trauma, or diaphragmatic tears. Traumatic pneumothorax occurs when air escapes from a laceration in the lung itself and enters the pleural space or from a wound in the chest wall. Most commonly, this occurs as air enters the pleural space through the rupture of a bleb or a bronchopleural fistula. A simple, or spontaneous, pneumothorax occurs when air enters the pleural space through a breach of either the parietal or visceral pleura. Types of pneumothorax include simple, traumatic, and tension pneumothorax. When either pleura is breached, air enters the pleural space, and the lung or a portion of it collapses. Typically, the pressure in the pleural space is negative or subatmospheric this negative pressure is required to maintain lung inflation. Pneumothorax occurs when the parietal or visceral pleura is breached and the pleural space is exposed to positive atmospheric pressure. Much less commonly, it may be a complication of the disease, may be iatrogenically induced, or may develop spontaneously (Mancini & Milliken, 2022). Hemothorax is usually a consequence of blunt or penetrating trauma. The source of blood may be the chest wall, lung parenchyma, heart, or great vessels. Hemothorax is the presence of blood in the pleural space. Providing Patient Education & Health Teachings Administering Medications and Pharmacological Support Preventing Respiratory Trauma and Infection Managing Care for Patients with Chest Tube Immerse yourself in a wealth of knowledge encompassing nursing assessment techniques, evidence-based nursing interventions, achievable goals, and precise nursing diagnoses specifically curated for individuals facing hemothorax and pneumothorax. 2002 91(1):67–71.Optimize patient care with this nursing care plan and management guide tailored to assist patients with hemothorax and pneumothorax. Randomized clinical trial of pigtail catheter versus chest tube in injured patients with uncomplicated traumatic pneumothorax. Kulvatunyou N, Erickson L, Vijayasekaran A, Gries L, Joseph B, Freise RF, O’Keeffe T, Tang AL, Wynne JL, Rhee P. Surgeon-performed ultrasound for pneumothorax in the trauma suite. Knudtson JL, Dort JM, Helmer SD, Smith RS, et al. Fatality risk and the presence of rib fractures. Cadaveric comparison of the optimal site for needle decompression of tension pneumothorax by prehospital providers. Inaba K, Karamanos E, Skiada D, Grabo D, Hammer P, Martin M, Sullivan M, Eckstein M, Demetriades D. A chest trauma scoring system to predict outcomes. Role of thoracoscopy in acute management of chest injury. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Keywordsīaumann MH, Strange C, Heffner JE, et al., and the AACP Pneumothorax Consensus Group. Injury to an intercostal or internal mammary artery is, by far, the most common source of intrathoracic bleeding following injury. Hemothorax is the abnormal presence of blood in the pleural space that occurs most commonly as a result of blunt or penetrating injury. Pneumothorax may occur spontaneously or as the result of blunt or penetrating trauma, or it may be due to complications of surgical and medical treatment, such as with barotrauma from mechanical ventilation or central venous line placement. Pneumothorax, the abnormal presence of air in the pleural space, is frequently encountered in trauma care and acute care surgical practice. The chest wall, comprised of the bony thorax and associated soft tissues, provides protection for underlying vital structures-the heart, great vessels, and lungs-and it provides an airtight cylinder that makes respiration possible.
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