Multiple Recurrent Pneumothoraces and Thoracic Drain Insertion in a Mechanically Ventilated Patient Suffering from Methadone Induced Cardiomyopathy

Review Data

Q: Is the topic relevant to the journal's area of interest? Is it contemporary and interesting for

researchers?

A: Very good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Excellent

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good

Tools and Methods

Q: Are the methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them coherent?

A: Very good

Comments:

The case description is adequate. The Introduction lays down the basics for taking up the present study. The Discussion explains the challenges in treating the patient in the present case clearly. It offers useful suggestions with respect to the treatment regimen. It also adequately discusses the literature. The report is well supported with briefly explained figures. Methadone is considered a safe drug but has many side effects in high-doses. The Conclusion section is apt in recommending the necessity of a multimodal therapy including cardiovascular resuscitation (CPR), multiple thoracic drains insertion, high doses of vasopressors and haemodynamic monitoring for guiding therapy.

Literature

Q: Does the author utilize relevant literature?

A: Very good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legends and notations clear?

A: Very good

Writing style

Q: Is it clear and understandable?

A: Very good

Further comments on the paper

Comments: This case report describes the experience of a multimodal therapeutic approach in a 56-year-old patient with methadone-induced dilated cardiomyopathy who developed recurrent bilateral tension pneumothorax. This report is of importance as multiple recurrent tension pneumothoraces with insertion of 7 thoracic drains, consecutive to cardiovascular resuscitation (CPR) and mechanical ventilation, is quite rare in the existing literature.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team