Development of a tension pneumothorax despite intercostal drain insertion
- 1Imperial College School of Medicine, Imperial College London, London, UK
- 2Department of Faculty of Medicine Nursing and Health Sciences, Monash University, Victoria, Australia
- 3Department of Fourth Surgical Clinic, Attikon University Hospital, Athens, Greece
- Correspondence to Dr Alasdair James Scott,
A 21-year-old man presented to a trauma department in Johannesburg with two sucking stab wounds on each side of his posterior thorax. The patient was in respiratory distress with oxygen saturation of 91% on 15 L O2. Blood pressure was 105/72 mm Hg, pulse 112/min and blood gas analysis demonstrated a mixed metabolic and respiratory acidosis.
A left haemopneumothorax was detected clinically although there was no evidence of tensioning. The stab wounds were covered with damp, three-sided dressings and an intercostal drain (ICD) …