Breast implants and bilateral tension pneumothorax following blunt chest trauma: a case report [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-73669

Breast implants and bilateral tension pneumothorax following blunt chest trauma: a case report

Mathieu Martin, David Lobo, Jennifer Jaubert, Paul-henri Jost, Fabrice Cook
Surgical Intensive Care Unit – Trauma Center, Department of Anaesthesiology and Critical Care Medicine, Paris-Est Créteil University and Assistance-Publique Hôpitaux de Paris, Henri Mondor University Hospital, Créteil, France

a 38-yr-old woman was admitted to our trauma center with a complete left pneumothorax. The chest tube implementation procedure was aborted quickly because of a very difficult dissection (subcutaneous emphysema over two voluminous breast implants). Due to respiratory and haemodynamic stability, patient was transferred to the imaging room without chest tube insertion. During transfer, the patient presents a cardiac arrest due to tension pneumothorax. The time benefit with the use of immediate total-body CT has been reported. A simple and rapid initial imaging assessment including chest and pelvic X-rays and FAST ultrasound protocol enables appropriate emergency decisions. While this diagnostic approach is time-consuming, it nevertheless allows a reduction in the time needed for initiate life-saving interventions for the most severe patients. This case reminds us that even if patients are stable, drainage of a complete pneumothorax under mechanical ventilation shouldn’t be delayed, especially in case of technically difficulties.

Keywords: blunt chest trauma, tension pneumothorax, breast implants




Corresponding Author: Mathieu Martin, France


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