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Management of cardiac tamponade secondary to pneumomediastinum after blunt thoracic trauma
In other cases, it has been attributed to the Macklin effect, first described by Macklin in 1939 as three steps: 1) alveolar rupture after blunt trauma; 2) air dissection along bronchovascular sheaths; and 3) spreading of pulmonary interstitial emphysema into and around the mediastinal structures.3...
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| Published in: | The American surgeon 2010-06, Vol.76 (6), p.E50-51 |
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| cites | cdi_FETCH-LOGICAL-c2897-2ed980a07a5ac9cf4bc814dd9ced7a526d6b990411c9fd13c88da3586e49608f3 |
| container_end_page | 51 |
| container_issue | 6 |
| container_start_page | E50 |
| container_title | The American surgeon |
| container_volume | 76 |
| creator | Bhullar, Indermeet S Wagner, Shaun |
| description | In other cases, it has been attributed to the Macklin effect, first described by Macklin in 1939 as three steps: 1) alveolar rupture after blunt trauma; 2) air dissection along bronchovascular sheaths; and 3) spreading of pulmonary interstitial emphysema into and around the mediastinal structures.3 This may produce tension pneumomediastinum with cardiac tamponade, although only seven cases of this have been reported in the last 34 years. A 17-year-old boy presented to the emergency room from a juvenile detention center after sustain- ing significant blunt chest trauma. |
| doi_str_mv | 10.1177/000313481007600607 |
| format | article |
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diagnostic imaging</topic><topic>Cardiac Tamponade - etiology</topic><topic>Cardiac Tamponade - therapy</topic><topic>Catheters</topic><topic>Drainage - methods</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Mediastinal Emphysema - diagnostic imaging</topic><topic>Mediastinal Emphysema - etiology</topic><topic>Mediastinal Emphysema - therapy</topic><topic>Oxygen Inhalation Therapy - methods</topic><topic>Radiography</topic><topic>Risk Assessment</topic><topic>Thoracic Injuries - complications</topic><topic>Thoracic Injuries - diagnostic imaging</topic><topic>Treatment Outcome</topic><topic>Wounds, Nonpenetrating - complications</topic><topic>Wounds, Nonpenetrating - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bhullar, Indermeet S</creatorcontrib><creatorcontrib>Wagner, Shaun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bhullar, Indermeet S</au><au>Wagner, Shaun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of cardiac tamponade secondary to pneumomediastinum after blunt thoracic trauma</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2010-06</date><risdate>2010</risdate><volume>76</volume><issue>6</issue><spage>E50</spage><epage>51</epage><pages>E50-51</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>In other cases, it has been attributed to the Macklin effect, first described by Macklin in 1939 as three steps: 1) alveolar rupture after blunt trauma; 2) air dissection along bronchovascular sheaths; and 3) spreading of pulmonary interstitial emphysema into and around the mediastinal structures.3 This may produce tension pneumomediastinum with cardiac tamponade, although only seven cases of this have been reported in the last 34 years. A 17-year-old boy presented to the emergency room from a juvenile detention center after sustain- ing significant blunt chest trauma.</abstract><cop>United States</cop><pub>SAGE PUBLICATIONS, INC</pub><pmid>21418767</pmid><doi>10.1177/000313481007600607</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American surgeon, 2010-06, Vol.76 (6), p.E50-51 |
| issn | 0003-1348 1555-9823 |
| language | eng |
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| source | Sage Journals Online |
| subjects | Adolescent Cardiac Tamponade - diagnostic imaging Cardiac Tamponade - etiology Cardiac Tamponade - therapy Catheters Drainage - methods Follow-Up Studies Humans Injury Severity Score Male Mediastinal Emphysema - diagnostic imaging Mediastinal Emphysema - etiology Mediastinal Emphysema - therapy Oxygen Inhalation Therapy - methods Radiography Risk Assessment Thoracic Injuries - complications Thoracic Injuries - diagnostic imaging Treatment Outcome Wounds, Nonpenetrating - complications Wounds, Nonpenetrating - diagnostic imaging |
| title | Management of cardiac tamponade secondary to pneumomediastinum after blunt thoracic trauma |
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