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    Tension Pneumothorax Vs Pneumothorax

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    Joanne May
    A tension pneumothorax is a medical emergency that occurs when air enters the pleural space during inspiration but cannot exit during expiration, increasing pressure within the pleural space. This can lead to reduced venous return and cardiac function. In contrast, a regular pneumothorax involves air in the pleural space but without increased pressure. A tension pneumothorax requires immediate intervention such as decompression to release the trapped air putting pressure on the lungs and heart.

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    Tension Pneumothorax Vs Pneumothorax

    Uploaded by

    Joanne May
    177 views7 pages
    A tension pneumothorax is a medical emergency that occurs when air enters the pleural space during inspiration but cannot exit during expiration, increasing pressure within the pleural space. This can lead to reduced venous return and cardiac function. In contrast, a regular pneumothorax involves air in the pleural space but without increased pressure. A tension pneumothorax requires immediate intervention such as decompression to release the trapped air putting pressure on the lungs and heart.

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    Difference between pneumothorax

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    Tension Pneumothorax vs Pneumothorax

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    A tension pneumothorax is a medical emergency that occurs when air enters the pleural space during inspiration but cannot exit during expiration, increasing pressure within the pleural space. This can lead to reduced venous return and cardiac function. In contrast, a regular pneumothorax involves air in the pleural space but without increased pressure. A tension pneumothorax requires immediate intervention such as decompression to release the trapped air putting pressure on the lungs and heart.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    177 views7 pages

    Tension Pneumothorax Vs Pneumothorax

    Uploaded by

    Joanne May
    A tension pneumothorax is a medical emergency that occurs when air enters the pleural space during inspiration but cannot exit during expiration, increasing pressure within the pleural space. This can lead to reduced venous return and cardiac function. In contrast, a regular pneumothorax involves air in the pleural space but without increased pressure. A tension pneumothorax requires immediate intervention such as decompression to release the trapped air putting pressure on the lungs and heart.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 7

    Tension pneumothorax

    vs
    Pneumothorax
    This occurs when there is a communication between the
    lung and the pleural space, with a flap of tissue
    acting as a valve, allowing air to enter the pleural space
    during inspiration and preventing it from leaving
    during expiration.

    A tension pneumothorax results from air accumulating


    under increasing pressure in the pleural space.

    Causes:
    ● Trauma.
    ● Mechanical ventilation at high pressure
    Pneumothorax Tension pneumothorax

    Primary spontaneous pneumothoraces: A medical emergency that requires immediate


    Young people without known respiratory intervention to decompress the involved
    illnesses hemithorax.

    Secondary spontaneous pneumothoraces: Increasing trapped air increases tension


    Patients with pre-existing pulmonary diseases pneumothorax.

    May lead to increased intrathoracic pressure,


    leading to reduced venous return and cardiac
    function

    Dyspnoea Rapid laboured respirations


    Chest pain Cyanosis
    Uneven chest pain Profuse diaphoresis
    Tachycardia

    ● Observation with supplemental oxygen


    therapy
    ● Percutaneous aspiration of the air in the
    pleural space
    ● Chest-tube thoracostomy
    ● Video-assisted thoracoscopy or
    thoracostomy in some cases
    Expansion: reduced or absent on affected side
    Vocal resonance: absent
    Hemothorax
    A collection of blood in the the pleural cavity.

    Hemothorax results more commonly from injury to a major intercostal or internal thoracic vessel than from laceration of a lung

    Injuries leading to massive hemothorax include:

    ● Aortic rupture
    ● Myocardial rupture
    ● Injuries to hilar structures, lung parenchyma, intercostal or mammary blood vessels

    Hemothorax is treated with:

    ● Tube thoracostomy using a large (minimum 36 French) chest tube


    ○ Immediate bloody drainage of ≥20 mL/kg (approximately 1500 mL) is generally considered an indication for surgical
    thoracotomy

    Shock and persistent, substantial bleeding (generally >3 mL/kg/hour) are additional indications.

    Vital signs, fluid resuscitation requirements, and concomitant injuries are considered when determining the need for thoracotomy.

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