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Barotrauma
Siva P. Raman, MD; Amir A. Borhani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Synonyms

            • Pulmonary barotrauma
          • Definitions

            • Alveolar rupture caused by elevated transalveolar pressure during mechanical ventilation

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Staging, Grading, & Classification

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Barcia SM et al: Pulmonary interstitial emphysema in adults: a clinicopathologic study of 53 lung explants. Am J Surg Pathol. 38(3):339-45, 2014
                                  2. Santa Cruz R et al: High versus low positive end-expiratory pressure (PEEP) levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev, 2013
                                  3. Frutos-Vivar F et al: [Prognosis for acute exacerbation of chronic obstructive pulmonary disease in mechanically ventilated patients.] Med Intensiva. 30(2):52-61, 2006
                                  4. Anzueto A et al: Incidence, risk factors and outcome of barotrauma in mechanically ventilated patients. Intensive Care Med. 30(4):612-9, 2004
                                  5. Bejvan SM et al: Pneumomediastinum: old signs and new signs. AJR Am J Roentgenol. 166(5):1041-8, 1996
                                  6. Satoh K et al: CT appearance of interstitial pulmonary emphysema. J Thorac Imaging. 11(2):153-4, 1996
                                  7. Tocino I et al: Barotrauma. Radiol Clin North Am. 34(1):59-81, 1996
                                  8. Gammon RB et al: Clinical risk factors for pulmonary barotrauma: a multivariate analysis. Am J Respir Crit Care Med. 152(4 Pt 1):1235-40, 1995
                                  9. Cho KC et al: Extraluminal air. Diagnosis and significance. Radiol Clin North Am. 32(5):829-44, 1994
                                  10. Levine MS et al: Diagnosis of pneumoperitoneum on supine abdominal radiographs. AJR Am J Roentgenol. 156(4):731-5, 1991
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          TERMINOLOGY

                                          • Synonyms

                                            • Pulmonary barotrauma
                                          • Definitions

                                            • Alveolar rupture caused by elevated transalveolar pressure during mechanical ventilation

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    • Staging, Grading, & Classification

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Barcia SM et al: Pulmonary interstitial emphysema in adults: a clinicopathologic study of 53 lung explants. Am J Surg Pathol. 38(3):339-45, 2014
                                                                  2. Santa Cruz R et al: High versus low positive end-expiratory pressure (PEEP) levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev, 2013
                                                                  3. Frutos-Vivar F et al: [Prognosis for acute exacerbation of chronic obstructive pulmonary disease in mechanically ventilated patients.] Med Intensiva. 30(2):52-61, 2006
                                                                  4. Anzueto A et al: Incidence, risk factors and outcome of barotrauma in mechanically ventilated patients. Intensive Care Med. 30(4):612-9, 2004
                                                                  5. Bejvan SM et al: Pneumomediastinum: old signs and new signs. AJR Am J Roentgenol. 166(5):1041-8, 1996
                                                                  6. Satoh K et al: CT appearance of interstitial pulmonary emphysema. J Thorac Imaging. 11(2):153-4, 1996
                                                                  7. Tocino I et al: Barotrauma. Radiol Clin North Am. 34(1):59-81, 1996
                                                                  8. Gammon RB et al: Clinical risk factors for pulmonary barotrauma: a multivariate analysis. Am J Respir Crit Care Med. 152(4 Pt 1):1235-40, 1995
                                                                  9. Cho KC et al: Extraluminal air. Diagnosis and significance. Radiol Clin North Am. 32(5):829-44, 1994
                                                                  10. Levine MS et al: Diagnosis of pneumoperitoneum on supine abdominal radiographs. AJR Am J Roentgenol. 156(4):731-5, 1991