Tension pneumothorax

Definition:
A complete collapse of the lung which occurs when air enters but does not leave the space around the lungs (pleural space). It is a potentially life-threatening condition which can lead to dangerously low oxygen levels, shock, or death. See also pneumothorax.

Alternative Names:

Pneumothorax - tension



Causes, incidence, and risk factors:

Any condition that leads to pneumothorax can cause a tension pneumothorax. (See pneumothorax.) In an uncomplicated pneumothorax, air can enter and leave the pleural space easily. In tension pneumothorax, however, air enters the pleural space with each breath and becomes trapped there.

As the amount of trapped air accumulates, pressure builds up in the chest. The lung collapses on that side and may push the important structures in the center of the chest (such as the heart, major blood vessels, and airways) towards the unaffected side of the chest. The shift may cause compression of the opposite lung and may affect the flow of blood returning to the heart.

This situation can lead to low blood pressure, shock, and death. Tension pneumothorax is a life-threatening emergency.




Review Date: 12/6/2001
Reviewed By: David A. Kaufman, M.D., Pulmonary & Critical Care Medicine, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.