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Ar COVID-19 Pnmonisinde Spontan Pnmotoraks: Giriimsel Tedavi ve Bulama Riski [Respir Case Rep]
Respir Case Rep. 2021; 10(1): 8-11 | DOI: 10.5505/respircase.2021.58224

Ar COVID-19 Pnmonisinde Spontan Pnmotoraks: Giriimsel Tedavi ve Bulama Riski

Mia Elhidsi, Prasenohadi Prasenohadi, Dicky Soehardiman
Pulmoner Mdahale ve Akcier Acil Servisi, Gs Hastalklar ve Solunum Tbb Blm, Tp Fakltesi, Universitas Endonezya - Persahabatan Ulusal Solunum Ynlendirme Hastanesi, Cakarta, Endonezya

Ar Akut Solunum Sendromu Corona Virs 2 (SARS-CoV2) veya Corona Virs Hastal 2019 (COVID-19), yksek bulacl olan ve hzla yaylan bir hastalktr. Pnmoni sk grlrken, pnmotoraks gibi plevral boluun tutulumu nadir olarak meydana gelir. Pnmotoraks hemen bir toraks tp taklmasn gerektirir. Torakostomi ilemleri hassas ve hzl bir ynetim gerektir, ancak bulama riskinden kanmak iin dikkat edilmelidir. Acil servise nefes darl ve oksijen desatrasyonu ile gelen 49 yandaki bir erkek hastay sunuyoruz. Fizik muayene ve portabl akcier grafisinde solda pnmotoraks saptand. Hastaya trakeal entbasyonu takiben toraks tp takld ve ilem sonras iki saatte akcierler ekspanse oldu. N95 maskeleri, tam gz korumas, yz siperi ve svya dayankl nlk dahil kiisel koruyucu ekipman (PPE) giyen iki cerrah ilemi yapt. Toraks tp taklmasndan iki hafta sonar cerrahlarn SARS-Cov2 PCR testleri negatif olarak geldi. Bu yazda, konu ile ilgili gncel literatrlerle mevcut bulgular tartld.

Anahtar Kelimeler: pnmotorkas, COVD 19, toraks tp, torakostomi, bulama riski

Spontaneous Pneumothorax in Severe COVID-19 Pneumonia: Interventional Treatment and Risk of Transmission

Mia Elhidsi, Prasenohadi Prasenohadi, Dicky Soehardiman
Division of Pulmonary Intervention and Pulmonary Emergency, the Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Indonesia - Persahabatan National Respiratory Referral Hospital, Jakarta, Indonesia.

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2), or Coronavirus disease 2019 (COVID-19), is a highly contagious and rapidly-spreading disease. While pneumonia is a common finding, pleural space involvement, such as pneumothorax, occurs only in rare cases. Pneumothorax requires the immediate insertion of a chest tube. Thoracostomy procedures require prompt and precise management, but with caution to avoid the risk of transmission. We report here on a 49-year-old male patient who was admitted to the emergency ward with shortness of breath and oxygen desaturation. A physical examination and portable chest X-ray indicated a left pneumothorax. The patient underwent tracheal intubation followed by chest tube insertion, and the lungs inflated two hours after the procedure. The operators included two people, wearing personal protective equipment (PPE), including N95 masks, full eye protection, a face shield and a fluid-resistant gown. Two weeks following chest tube insertion, the operators underwent a SARS-CoV2 PCR examination, with negative results. This report discusses relevant findings in literature related to the current issue.

Keywords: pneumothorax, COVID19, chest tube, thoracostomy, risk of transmission

Mia Elhidsi, Prasenohadi Prasenohadi, Dicky Soehardiman. Spontaneous Pneumothorax in Severe COVID-19 Pneumonia: Interventional Treatment and Risk of Transmission. Respir Case Rep. 2021; 10(1): 8-11

Sorumlu Yazar: Mia Elhidsi, Indonesia
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