Management of pediatric occult pneumothorax in blunt trauma: a subgroup analysis of the American Association for the Surgery of Trauma multicenter prospective observational study.
- Notrica, David M
- Garcia-Filion, Pamela
- Moore, Forrest O
- Goslar, Pamela W
- Coimbra, Raul
- Velmahos, George
- Stevens, Lily R
- Petersen, Scott R
- Brown, Carlos VR
- Foulkrod, Kelli H
- Coopwood, Thomas B
- Lottenberg, Lawrence
- Phelan, Herb A
- Bruns, Brandon
- Sherck, John P
- Norwood, Scott H
- Barnes, Stephen L
- Matthews, Marc R
- Hoff, William S
- Demoya, Marc A
- Bansal, Vishal
- Hu, Charles KC
- Karmy-Jones, Riyad C
- Vinces, Fausto
- Hill, Jenessa
- Pembaur, Karl
- Haan, James M
DOIAbstract
BACKGROUND: Occult pneumothorax (OPTX) represents air within the pleural space not visible on conventional chest radiographs. Increased use of computed tomography has led to a rise in the detection of OPTX. Optimal management remains undefined. METHODS: A pediatric subgroup analysis (age <18 years) from a multicenter, observational study evaluating OPTX management. Data analyzed were pneumothorax size, management outcome, and associated risk factors to characterize those that may be safely observed. RESULTS: Fifty-two OPTX (7.3 ± 6.2 mm) in 51 patients were identified. None were greater than 27 mm; all those under 16.5 mm (n = 48) were successfully managed without intervention. Two patients underwent initial tube thoracostomy (one [21 mm] a...
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