COVID-19-Associated Tension Pneumothorax in Mechanically Ventilated Patients: A Case Series - Cureus
Patients who develop coronavirus disease 2019 (COVID-19) infection and present with hypoxic respiratory failure requiring mechanical ventilation typically follow acute respiratory distress syndrome (ARDS) physiology [1]. In patients with COVID-19, tension pneumothorax is a potential cause of abrupt decompensation. It is critical to recognize tension pneumothoraces as early as possible, due to high mortality rate of up to 91%, if not diagnosed and treated promptly [2]. Case 1 A 63-year-old male with a medical history significant for asthma, hyperlipidemia, prostate cancer, and cluster headaches presented to the emergency department (ED) with worsening shortness of breath (SOB). The patient tested positive for SARS-CoV-2 via polymerase chain reaction (PCR) six days prior to presentation. Because of being hypoxic on room air, the patient was supplemented with oxygen via nasal cannula. A computed tomography (CT) scan of the chest with contrast revealed widespread ...