Table 2.
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 |
PT= pneumothorax,
SE= subcutaneous emphysema,
PD= pneumomediastinum,
VT = tidal volume,
PEEP= positive end-expiratory pressure
IPAP= inspiratory positive airway pressure,
Pplat = end-inspiratory pressures.