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. 2020 Oct 14;50(1):37–43. doi: 10.1016/j.hrtlng.2020.10.002

Table 2.

Clinical characteristics, treatments and outcomes pneumothorax.

Case 1 Case 2 Case 3 Case 4 Case 5
Sex Male Male Male Male Male
Age, years 79 56 54 69 63
Smoking history No No No No No
Chronic lung diseases No No No No No
Description of air leaks
 Side of PTa Right Right Bilateral Right Bilateral
 SEb No No No Yes No
 PDc No No No Yes No
Smoking history No No No No No
Chronic lung diseases No No No No No
RR (breaths /min) 24 10 32 35 34
Arterial blood gas tests before air leaks
 pH 7.32 7.36 7.44 7.43 7.46
 FiO2 90% 50%+VV-ECMO 37% 70% 55%
 PO2/FiO2, mmHg 129 NA 192 110 131
 PO2, mmHg 116 72 71 77 72
 PCO2, mmHg 76 40 38 72 42
Severity of ARDS moderate severe moderate moderate moderate
Paradoxical thoracoabdominal motion Yes No No Yes Yes
Mechanical ventilation before air leaks IMV IMV+VV-ECMO NIV+IMV (terminated) IMV NIV
Ventilation parameters
 VTd, ml/kg 5.8 5 NA 5.5 NA
 PEEPe, cmH2O 12 12 NA 8 5
 IPAPf, cmH2O 24 25 NA 22 15
 Pplatg, cmH2O <30 <30 NA <30 NA
Neuromuscular blockers Yes (decreasing in dose) Yes No Yes (decreasing in dose) No
Recruitment maneuver No Yes No No No
Lung-protective ventilation Yes Yes No Yes Yes
ECMO No Yes No No No
Days of CT before PT 17 22/10 25/0 37 /27 11/6
CT features
 Ground-glass opacity Yes Yes/ Yes Yes /Yes Yes /Yes Yes /Yes
 Consolidation Yes No/ Yes No /Yes No /No No /Yes
 Fibrosis No No /No No /Yes No /No No/No
 Pulmonary cysts Yes No /No No/ Yes No /No No /No
 Emphysema Yes No /No No/ Yes No /No No /No
From dyspnea to occurence of air leaks, days 21 21 28 40 15
From mechanical ventilation to occurence of air leaks, days 18 20 18 37 5
Chest drainage Yes No No Yes Yes (Bilateral)
ECMO Yes Yes No No No
Pneumothorax resolved Yes Yes Yes No No
Virus eliminated Yes Yes Yes Yes No
Outcome Died Died Alive Died Died
From occurrence of pneumothora to death, days 11 15 NA 7 4
Length of hospital stay, days 29 38 42 44 13
a

PT= pneumothorax,

b

SE= subcutaneous emphysema,

c

PD= pneumomediastinum,

d

VT = tidal volume,

e

PEEP= positive end-expiratory pressure

f

IPAP= inspiratory positive airway pressure,

g

Pplat = end-inspiratory pressures.