Evaluation of iatrogenic pneumothorax cases in the intensive care unit: A retrospective investigation (original) (raw)

This study aimed to determine iatrogenic pneumothorax cases diagnosed in hospitalized patients and evaluate the etiological reasons along with the factors which affect prognosis. A retrospective investigation was made of the hospital records of cases that developed iatrogenic pneumothorax during hospitalization in intensive care unit of our hospital between April 2007 and December 2010. Age, sex, etiological factors, symptoms, treatment procedure and treatment period were evaluated. 37 out of 1374 patients developed pneumothorax while hospitalized. All patients were treated with tube thoracostomy. Patients who underwent ventilator therapy had significantly longer periods of tube thoracostomy than those who had spontaneous breathing. It is always possible to encounter iatrogenic pneumothorax in Training Hospitals which undertake advanced research and education. The most important factor in prognosis is to remember the risk of pneumothorax. Following procedures which carry a risk of pneumothorax development, patients should be evaluated with direct radiography to eliminate a vital complication such as pneumothorax. Patients undergoing ventilatory treatment may need longer time of treatment with tube thoracostomy.