Rare pulmonary barotrauma after explosive decompression: a case report

. 2020 Nov 09 ; 20 (1) : 291. [epub] 20201109

Jazyk angličtina Země Velká Británie, Anglie Médium electronic

Typ dokumentu kazuistiky, časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid33167973
Odkazy

PubMed 33167973
PubMed Central PMC7654002
DOI 10.1186/s12890-020-01321-5
PII: 10.1186/s12890-020-01321-5
Knihovny.cz E-zdroje

BACKGROUND: Pneumothorax as a consequence of pulmonary barotrauma during explosive decompression military crew training in a hypobaric chamber is an extremely rare and sparsely diagnosed complication. Extensive bilateral tissue damage is even more unexpected. CASE PRESENTATION: A 26-year-old active duty Air Force pilot was performing an explosive decompression simulation from 8000 ft. (2438.4 m) to 25,000 ft. (7620 m) in a 1.5 s interval. The training was interrupted due to the pilot's apparent health complications. After transfer to the emergency department, a CT scan showed bilateral lung barotrauma with emphysema. CONCLUSIONS: The case report shows extensive emphysema and pneumothorax after a rapid decompression done for training purposes. It is a possible but rare complication. The cause remains unclear, with suspicion of a predisposed lung disease.

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