Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection

Table 1

Patient characteristics.

Case

Age

Sex

Race

Comorbidities

Smoking history

Days on intubation during the event

Mode of ventilation

Ventilator settings at the time of the event (FiO2%) (PEEP)

Superimposed pneumonia

Severity of pneumothorax

Management

Outcome

1

62

M

African American

Obesity, bullous lung disease, CAD, OSA

Nonsmoker

49

PC-AC

65%, 10

Staphylococcus aureus pneumonia

Bilateral pneumothoraces

Chest tube drainage

Deceased

2

60

M

Caucasian

Obesity, HTN, OSA

Nonsmoker

14

PRVC-AC

80%, 8

Escherichia coli pneumonia

Right-sided tension pneumothorax, subsequent left-sided moderate pneumothorax

Chest tube drainage

Deceased

3

58

M

Caucasian

Obesity, HTN, MVP

Former smoker

31

VC-AC

50%, 8

N/A

Right-sided pneumothorax, left-sided tension pneumothorax

Chest tube drainage

Deceased

4

64

M

Caucasian

CAD

Former smoker

25

PC-AC

40%, 6

Staphylococcus aureus and gram-negative pneumonia

Bilateral pneumothoraces

Chest tube drainage

Survived

5

69

F

Hispanic

Obesity, asthma

Nonsmoker

12

VC-AC

50%, 8

N/A

Right-sided pneumothorax

14 Fr pigtail catheter

Survived

CAD: coronary artery disease; FiO2: fraction of inspired oxygen; HTN: hypertension; MVP: mitral valve prolapse; PC-AC: pressure control-assist control; PEEP: positive end expiratory pressure; PRVC-AC: pressure regulated volume control-assist control; OSA: obstructive sleep apnea; VC-AC: volume control-assist control.