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Distribution of pneumothorax in the supine and semirecumbent critically ill adult
Abstract
Although a number of radiologic signs of pneumothorax in the supine patient have been reported, the frequency of involvement of various pleural recesses has not been emphasized. In 88 critically ill patients with 112 pneumothoraces, the anteromedial (38%) and subpulmonic (26%) recesses were the most commonly involved in the supine and semirecumbent position. In this study, 30% of pneumothoraces were not initially detected by the clinician or radiologist, and half of these progressed to tension pneumothorax. Knowledge of the most common recesses involved in pneumothorax and aggressive use of additional radiographic views, including computed tomography, should increase detection of pneumothoraces in critically ill patients.
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Citations
Cited by
Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010
MacDuff, A., Arnold, A., Harvey, J., & on behalf of the BTS Pleural Disease Guideline Group (2010) · Thorax · doi:10.1136/thx.2010.136986 · Cited by 1,481
Ultrasound diagnosis of occult pneumothorax*
Lichtenstein, D. A., Mezière, G., Lascols, N., Biderman, P., Courret, J.-P., Gepner, A., Goldstein, I., & Tenoudji-Cohen, M. (2005) · Critical Care Medicine · doi:10.1097/01.ccm.0000164542.86954.b4 · Cited by 632
The comet-tail artifact: an ultrasound sign ruling out pneumothorax
Lichtenstein, D., Mezière, G., Biderman, P., & Gepner, A. (1999) · Intensive Care Medicine · doi:10.1007/s001340050862 · Cited by 466
Metadata
- Authors
- Tocino, I., Miller, M., & Fairfax, W.
- Venue
- American Journal of Roentgenology
- Publisher
- American Roentgen Ray Society
- Published
- 1985-05-01
- Volume
- 144
- Issue
- 5
- Pages
- 901-905
- ISSN
- 0002-9580 (ISSN-L)
- 0361-803X
- 1546-3141
- OpenAlex
- W2031894767
- Cited by
- 296
- References
- 0
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Distribution of pneumothorax in the supine and semirecumbent critically ill adult. https://app.cochat.ai/papers/10.2214/ajr.144.5.901
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- Tocino, I., Miller, M., & Fairfax, W. (1985). Distribution of pneumothorax in the supine and semirecumbent critically ill adult. American Journal of Roentgenology. https://doi.org/10.2214/ajr.144.5.901
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