Conclusions
PNX represents both a common occurrence in trauma patients and a potentially avoidable cause of death. The PNX-related cardiorespiratory alterations are particularly rapid and severe in mechanically ventilated patients. Therefore, PNX should be suspected even in the absence of signs, such as subcutaneous emphysema, clearly indicating an air leak. Reduced breath sounds, crepitus and asymmetric expansion of the chest are appropriate triggers for a TT or ST in the out-of-hospital setting. The choice of technique depends more on the experience and training of the surgeon than on EBM criteria.
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Berlot, G., Massarutti, D., Carchietti, E. (2005). Treatment of acute pneumothorax in the field. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/88-470-0351-2_61
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