Tension pneumopericardium in a polytrauma patient

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F21%3AA2202CUP" target="_blank" >RIV/61988987:17110/21:A2202CUP - isvavai.cz</a>

Alternative codes found

RIV/00843989:_____/23:E0110180

Result on the web

<a href="https://doi.org/10.5507/bp.2021.060" target="_blank" >https://doi.org/10.5507/bp.2021.060</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5507/bp.2021.060" target="_blank" >10.5507/bp.2021.060</a>

Result language

angličtina

Original language name

Tension pneumopericardium in a polytrauma patient

Original language description

Introduction. Tension pneumopericardium is a life-threatening condition, manifesting most commonly as hemodynamic instability caused by cardiac tamponade. Reduced cardiac output and blood pressure can lead to difficulties in the detection of arterial bleeding from associated injuries while the increased venous pressure can increase the rate of bleeding. Case report. This is the case of a patient after a car accident, with bilateral serial fractures, bilateral pulmonary contusion, bilateral pneumothorax, emphysema of the neck and chest, pneumomediastinum and pneumopericardium, and other injuries. During treatment, the patient developed a gradually progressing hemodynamic instability, resulting in pulseless electrical activity. Further progression of the case is detailed in the paper. Conclusions. Tension pneumopericardium is a rare complication of a high-energy blunt thoracic trauma that manifests through hemodynamic instability. Its treatment requires early diagnosis and immediate decompression of the pericardial cavity, which should, where possible, be performed even before putting the patient on mechanical ventilation as ventilation bears a high risk of worsening the pneumopericardium due to the increased air pressure in the lungs. During diagnosis and treatment of associated injuries, we must bear in mind that the hemodynamic changes caused by pneumopericardium can mask typical signs of such injuries.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

20601 - Medical engineering

Project

<a href="/en/project/EF17_049%2F0008441" target="_blank" >EF17_049/0008441: Innovative therapeutic methods of musculoskeletal system in accident surgery</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Biomedical Papers-Olomouc

ISSN

1213-8118

e-ISSN

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Volume of the periodical

—

Issue of the periodical within the volume

listopad 2021

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

4

Pages from-to

1-4

UT code for WoS article

000731340200001

EID of the result in the Scopus database

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