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Correspondence
Spontaneously breathing patients get tension pneumothoraces
  1. Simon Leigh-Smith1,
  2. Tim Harris2,
  3. Derek J Roberts3
  1. 1Emergency Department, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK
  2. 2Departments of Emergency and Intensive Care Medicine and Pre-hospital Care, The Royal London and Newham University Hospitals, London, England, UK
  3. 3Departments of Surgery, Community Health Sciences and Critical Care Medicine, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada
  1. Correspondence to Dr Simon Leigh-Smith, Emergency Department, Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, UK; simon.leigh-smith{at}luht.scot.nhs.uk

https://doi.org/10.1136/thoraxjnl-2011-201307

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    The recently published correspondence by Simpson is welcomed in so far as it correctly highlights some issues concerning tension pneumothorax.1 We agree that there are large differences in the pathophysiology and clinical manifestations of spontaneously breathing and mechanically ventilated patients presenting with a tension pneumothorax. It is also well established that hypoxaemia is …

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    Footnotes

    • Linked article 201402.

    • Competing interests None.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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