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Int J Hyperthermia 2020 ;37(1):763-771

Department of Cardiovascular and Thoracic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

To evaluate complications after consecutive 100 sessions of cone-beam computed tomography (CBCT)-guided radiofrequency ablation (RFA) of lung tumors A retrospective study was conducted from January 2016 and October 2018. All procedures were performed using a CBCT virtual navigation guidance system, combining three-dimentional CBCT, needle planning software, and real-time fluoroscopy. Complications were evaluated for each RFA session in 63 consecutive patients (31 male, 32 female; mean age 58. Read More

Gen Thorac Cardiovasc Surg 2020 Jul 2. Epub 2020 Jul 2.

Division of Pathology, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan.

We report a 69-year-old woman with spontaneous pneumothorax associated with cavitating pulmonary metastasis from breast cancer. She was treated for right breast cancer (invasive ductal carcinoma, ypT4bN1M0, stage IIIB) 2 years earlier, and was admitted for right pneumothorax and chest computed tomography, which showed multiple small cavitating lesions in bilateral lungs. The pneumothorax was treated conservatively with chest drainage, but subsequently recurred ipsilaterally. Read More

Sisli Etfal Hastan Tip Bul 2020 1;54(2):231-235. Epub 2020 Jun 1.

Department of Anesthesiology and Reanimation, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Objectives: Brachial plexus block is the most effective analgesia and anesthesia procedure for the upper extremity surgeries in pediatric patients. In recent years, ultrasound guidance for this procedure has reduced the fail and complications like pneumothorax, intravascular injection and nerve damage. However, the number of studies about brachial plexus block is not enough, particularly in pediatric patients, which remained under-researched. Read More

Sci Rep 2020 Jul 2;10(1):10906. Epub 2020 Jul 2.

Department of Diseases of the Thorax, G.B. Morgagni Hospital, Forlì, Italy.

Bronchiolitis manifests as a variety of histological features that explain the complex clinical profiles and imaging aspects. In the period between January 2011 and June 2015, patients with a cryobiopsy diagnosis of bronchiolitis were retrospectively retrieved from the database of our institution. Clinical profiles, imaging features and histologic diagnoses were analysed to identify the role of cryobiopsy in the diagnostic process. Read More

BMJ Case Rep 2020 Jul 2;13(7). Epub 2020 Jul 2.

Division of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego, La Jolla, California, USA.

A 19-year-old man vaping with tetrahydrocannabinol presented with dyspnoea and right pneumothorax. History, imaging and negative infectious workup were consistent with E-cigarette, or vaping, product use-associated lung injury (EVALI). Treated with systemic steroids, he developed acute respiratory distress syndrome and was intubated requiring veno-venous extracorporeal membrane oxygenation (VV-ECMO) by hospital day 3. Read More

Ned Tijdschr Geneeskd 2020 Jun 11;164. Epub 2020 Jun 11.

Haaglanden Medisch Centrum, afd. Cardiologie, Den Haag.

The Electronic Control Device (ECD) will be used by the primary police force in the Netherlands. Hence medical personnel will be confronted with persons that have received ECD shocks more often. In light of these developments, it is important that care providers are aware of potential medical consequences resulting from the use of electric stun guns. Read More

Respirology 2020 Jul 1. Epub 2020 Jul 1.

Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, WA, Australia.

Pleural diseases affect millions of people worldwide. Pleural infection, malignant pleural diseases and pneumothorax are common clinical challenges. A large number of recent clinical trials have provided an evidence-based platform to evaluate conventional and novel methods to drain pleural effusions/air which reduce morbidity and unnecessary interventions. Read More

Surg Case Rep 2020 Jul 1;6(1):156. Epub 2020 Jul 1.

Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Background: Secondary pneumothorax after chemotherapy for a malignant pulmonary tumor is a complication from a large cavity causing refractory pneumothorax.

Case Presentation: A 61-year-old man was referred due to prolonged air leakage from a pulmonary cavity that developed after treatment for pulmonary metastases from renal cell carcinoma. As air leakage continued after thoracic drainage and endobronchial occlusion, we planned thoracoscopy-assisted surgery. Read More

Radiol Case Rep 2020 Aug 24;15(8):1317-1322. Epub 2020 Jun 24.

Department of Radiology, Section of Vascular and Interventional Radiology, University of Missouri- Columbia, One Hospital Drive, Columbia, MO, 65212, USA.

Birt-Hogg-Dubé syndrome (BHD) is a rare autosomal dominant disorder that predisposes patients to cutaneous tumors, pulmonary cysts with recurrent spontaneous pneumothoraces, and a variety of renal neoplasms including hybrid oncocytic and chromophobe renal cell carcinomas. There has been much debate regarding the genetic link with the occurrence of colorectal cancer and other colonic anomalies. Associations between BHD and intestinal adenomatous polyposis and sigmoid diverticulosis have been described in the literature, but there have been no prior reports of appendiceal diverticulosis in patients with BHD. Read More

Adv Urol 2020 18;2020:6063018. Epub 2020 Jun 18.

Dniprovsky Regional Clinical Oncology Dispensary, Dnipro 49055, Ukraine.

Objectives: To assess the outcomes of cavoatrial tumor thrombus removal using the liver transplantation technique for thrombectomy, a retrospective study was conducted.

Materials And Methods: Five patients with atrial tumor thrombi who underwent piggy-back mobilization of the liver, surgical access to the right atrium from the abdominal cavity, and external manual repositioning of the thrombus apex below the diaphragm (milking maneuver) were included into the study. Extracorporeal circulation was used in none of the cases. Read More

Ochsner J 2020 ;20(2):222-225

Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA.

Tension pneumothorax is a serious, potentially life-threatening condition with numerous etiologies. Hypopharyngeal injury, a possible complication of endotracheal intubation, can lead to tension pneumothorax. We describe a hypopharyngeal injury that occurred during endotracheal intubation that resulted in tension pneumothorax. Read More

Pediatr Pulmonol 2020 Jul 1. Epub 2020 Jul 1.

Department of Neonatology, Royal Sussex County Hospital, Brighton & Sussex University Hospitals Trust, Brighton, UK.

Introduction: Current evidence supports continuous NCPAP weaning. Humidified high flow nasal cannula (HHFNC) reduces NCPAP time in infants <28 weeks gestational age (GA) without increasing morbidity. The aim of the study was to compare the two most frequently used HHFNC devices in weaning from NCPAP. Read More

Anaesthesia 2020 Jul 1. Epub 2020 Jul 1.

Department of Pain Medicine, Singapore General Hospital, Singapore.

The erector spinae plane block is a new regional anaesthesia technique that provides truncal anaesthesia for breast surgery. This systematic review and meta-analysis was undertaken to determine if the erector spinae plane block is effective at reducing pain scores and opioid consumption after breast surgery. This study also evaluated the outcomes of erector spinae plane blocks compared with other regional blocks. Read More

Braz J Med Biol Res 2020 26;53(8):e9469. Epub 2020 Jun 26.

Department of Radiology, Children's Hospital of Soochow University, Suzhou, China.

This is a retrospective, single-center observational study to explore the predictors of chest drainage for neonatal pneumothorax. A total of 183 neonates (age ≤28 days) who presented to the Children's Hospital of Soochow University between January 1, 2015 and December 31, 2018 for pneumothorax or developed pneumothorax during a hospital stay were included. Demographic data, clinical presentation, and imaging characteristics of neonatal pneumothorax were collected and analyzed. Read More

ERJ Open Res 2020 Apr 22;6(2). Epub 2020 Jun 22.

Dept of Respiratory Medicine, Japanese Red Cross Medical Center, Shibuya, Japan.

Transbronchial lung cryobiopsy (TBLC) has been increasingly utilised to diagnose diffuse parenchymal lung diseases (DPLDs) and lung cancers; however, TBLC protocols have not yet been standardised and the rate of complications associated with this procedure vary widely. Therefore, this prospective multicentre observational study investigated the safety and utility of the TBLC technique in patients with diffuse and localised respiratory diseases. This study was conducted at multiple medical centres in Japan between July 2018 and April 2019. Read More

Acta Gastroenterol Belg 2020 Apr-Jun;83(2):322-324

Department of Pneumology, Clinique Saint Joseph, Arlon, Belgium.

A 14-year-old male was admitted to the Emergency Department with sore throat and cough. One hour after his admission, he presented a hemodynamic compromise with a respiratory failure. The thoracic tomodensitometry highlighted a tension bilateral pneumothorax and mediastinum consecutive to an esophageal rupture in the left posterolateral wall also known as Boerhaave's syndrome which was treated successfully with a non-operative management. Read More

Eur Arch Otorhinolaryngol 2020 Jun 29. Epub 2020 Jun 29.

Phoniatrics Unit, Otorhinoloryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Introduction: The following provides clinical reporting of seven neonates with iatrogenic pharyngeal trauma due to forceful untrained use of nasogastric feeding tube. A range of symptoms were observed beginning with excessive frothy secretions culminating in more severe pneumothorax in some. These cases are presented in the context of an exhaustive literature review producing only 50 similar cases worldwide. Read More

Pulmonology 2020 Jun 26. Epub 2020 Jun 26.

Pneumology Department, University Hospital Complex of Santiago de Compostela, Spain; Pneumology Interdisciplinary Research Group, Santiago de Compostela Health Research Institute (IDIS), Spain.

Introduction: Determining the risk of recurrence of primary spontaneous pneumothorax is challenging. The objective of this study was to develop a risk assessment model to predict the probability of recurrence in patients with spontaneous pneumothorax.

Methods: A retrospective study was performed of all episodes of pneumothorax diagnosed in the last 12 years in a hospital, in patients not initially submitted to surgery. Read More

BMC Pulm Med 2020 Jun 29;20(1):183. Epub 2020 Jun 29.

Department of Pulmonary and Critical Care Medicine, Centre of Respiratory Medicine, China-Japan Friendship Hospital; National Clinical Research Centre for Respiratory Diseases, Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, 2 Yinghuayuan East Street, Chaoyang District, Beijing, 100029, China.

Background: Identification of pathologic features is helpful for the management of nonresolving acute respiratory distress syndrome (ARDS). Transbronchial lung cryobiopsy (TBLC) is a novel biopsy technique that may have comparable utility to surgical biopsy. The aim of this study was to assess the value of TBLC in patients with nonresolving ARDS. Read More

Chest 2020 Jun 26. Epub 2020 Jun 26.

Department of Pulmonology and Critical Care, Geisinger Medical Center, Danville, PA, USA.

Background: Secondary spontaneous pneumothorax (SSP) is defined as a pneumothorax presenting as a complication of underlying lung disease. Due to the high recurrence rate and the possibility of life-threatening complications, same-admission recurrence prophylaxis (SARP) following the first occurrence of SSP is recommended by many experts. The rate of SARP in SSP admissions has not been reported. Read More

Ann Thorac Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Thoracic Surgery, Chigasaki Municipal Hospital.

Chemical pleurodesis, including talc pleurodesis, has been commonly used to prevent malignant pleural effusions and pneumothorax. We report a case of anaphylactic shock caused by talc pleurodesis. A 69-year-old female who had prolonged air leakage after lobectomy underwent talc pleurodesis. Read More

Biomed Res Int 2020 5;2020:6928368. Epub 2020 Jun 5.

Department of Anatomical Sciences, St. George's University School of Medicine, St. George's, West Indies, Grenada.

Objective: The COVID-19 pandemic and annual influenza epidemic are responsible for thousands of deaths globally. With a similarity in clinical as well as laboratory findings, there is a need to differentiate these two conditions on chest CT scan. This paper attempts to use existing literature to draw out differences in chest CT findings in COVID-19 and influenza. Read More

IDCases 2020 17;21:e00868. Epub 2020 Jun 17.

Division of Infectious Diseases, University of Toledo Medical Center, United States.

Patient presents with dyspnea after recovering from COVID-19 pneumonia and is found to have pneumothorax. This represents an under-reported sequelae of COVID-19. Read More

Respirol Case Rep 2020 Aug 24;8(6):e00610. Epub 2020 Jun 24.

Department of Thoracic Medicine St Vincent's Hospital Sydney NSW Australia.

Birt-Hogg-Dubé (BHD) syndrome is a rare, autosomal dominant disorder caused by a germline mutation in the folliculin gene (17p11.2). It is characterized by benign skin lesions, renal tumours, and pulmonary cysts, with pneumothoraces seen exceptionally rarely in patients younger than 40 years. Read More

Am J Perinatol 2020 Jun 28. Epub 2020 Jun 28.

Division of Neonatology, Ankara City Hospital, The University of Health Sciences, Ankara, Turkey.

Objective:  The optimal noninvasive ventilation (NIV) modality in the treatment of transient tachypnea of the newborn (TTN) is still unknown. The aim of this study was to compare nasal continuous positive airway pressure (NCPAP) versus bi-level CPAP in the treatment of TTN.

Study Design:  This was a prospective randomized study that was conducted in a tertiary level neonatal intensive care unit of Zekai Tahir Burak Women's Health Education and Research Hospital during the 1-year period between April 2017 and March 2018. Read More

Eur Radiol 2020 Jun 27. Epub 2020 Jun 27.

Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA, 02215, USA.

Objectives: To evaluate the impact of patient positioning during CT-guided lung biopsy on patients' outcomes.

Methods: In this retrospective, IRB-approved, HIPAA-compliant study, consecutive CT-guided lung biopsies performed on 5/1/2015-12/26/2017 were included. Correlation between incidence of pneumothorax, chest tube placement, pulmonary bleeding with patient, and procedure characteristics was evaluated. Read More

Adv Pediatr 2020 Aug 14;67:145-169. Epub 2020 May 14.

Division of Pediatric Surgery, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Avenue, H4/740 CSC, Madison, WI 53792-7375, USA.

Aerosp Med Hum Perform 2020 Jul;91(7):592-596

Remotely guided ultrasound (US) examinations carried out by nonmedical personnel (novices) have been shown to produce clinically useful examinations, at least in small pilot studies. Comparison of the quality of such exams to those carried out by trained medical professionals is lacking in the literature. This study compared the objective quality and clinical utility of cardiac and pulmonary US examinations carried out by novices and trained physicians. Read More

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):531-537

Department of Thoracic Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey.

Background: This prospective study aims to investigate the effect of chest physiotherapy and analgesic therapy on the possible complications of isolated rib fractures attributable to blunt thoracic trauma, such as hemothorax and pneumothorax.

Methods: Patients who presented to Çanakkale Onsekiz Mart University School of Medicine Hospital's Emergency Department and Thoracic Surgery outpatient clinics within the first 24 hours of the post-traumatic period and did not have additional intrathoracic complications at presentation with blunt thoracic trauma and who were diagnosed with isolated rib fractures were enrolled in this prospective research study. The groups were designated as the patients who would receive analgesic treatment only (Group A) and the patients who would receive chest physiotherapy and analgesic treatment together (Group B). Read More

J Clin Med 2020 Jun 23;9(6). Epub 2020 Jun 23.

Rehabilitation Research Laboratory 2rLab, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, 6928 Manno, Switzerland.

Dry needling (DN) is a minimally invasive treatment technique widely used by physical therapists to treat myofascial trigger points (MTrP). Even if its safety has been commonly declared and the majority of adverse events are considered mild, serious adverse events cannot be excluded and DN treatments of several trunk muscles can potentially result in pneumothorax. Ultrasound imaging (US) skin-to-rib measurement could ensure the safety of this treatment procedure. Read More

Clinics (Sao Paulo) 2020 22;75:e2027. Epub 2020 Jun 22.

Instituto de Radiologia (InRad), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.

The coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in Wuhan city and was declared a pandemic in March 2020. Although the virus is not restricted to the lung parenchyma, the use of chest imaging in COVID-19 can be especially useful for patients with moderate to severe symptoms or comorbidities. This article aimed to demonstrate the chest imaging findings of COVID-19 on different modalities: chest radiography, computed tomography, and ultrasonography. Read More

Respir Med Case Rep 2020 12;30:101133. Epub 2020 Jun 12.

Department of Pulmonology and Respiratory Disease, Faculty of Medicine, Airlangga University - Dr Soetomo Academic Hospital, Indonesia.

A young male clove cigarette smoker experienced spontaneous pneumothorax and later paraseptal emphysema was detected on high-resolution computed tomography (HRCT) scan without respiratory symptoms. Smoking is a known risk factor for emphysema. Paraseptal emphysema is a type of emphysema that rarely causes respiratory symptoms, nevertheless, usually accompanied by spontaneous pneumothorax. Read More

Clin Case Rep 2020 Jun 18;8(6):967-969. Epub 2020 Mar 18.

Department of Critical Care Medicine Om Hospital and Research Center Kathmandu Nepal.

Various forms of alternative medicinal practices are gaining popularity. With this, there will be rise in the complications arising from these practices. Acupuncture is also such practice which though safe can rarely cause life-threatening complications. Read More

Ann Am Thorac Soc 2020 Jun 23. Epub 2020 Jun 23.

University of Colorado Denver School of Medicine, 12225, Aurora, Colorado, United States.

Background: Coils and endobronchial valves are the most widely used bronchoscopic lung volume reduction devices in patients with advanced emphysema. However, the choice of each specific device depends on emphysema characteristics (homogeneous vs heterogeneous) and presence of lobar collateral ventilation (CV). These devices have not been compared in a head-to-head study design. Read More

Undersea Hyperb Med 2020 Second Quarter;47(2):181-187

Department of Neurosurgery, Changhai Hospital, Navy Military Medical University, Shanghai China.

Objectives: To determine whether hyperbaric oxygen (HBO2) therapy be effective to improve hypoxemia for severe COVID-19 pneumonia patients.

Methods: Two male patients ages 57 and 64 years old were treated. Each met at least one of the following criteria: shortness of breath; respiratory rate (RR) ≥30 breaths/minute; finger pulse oxygen saturation (SpO2) ≤93% at rest; and oxygen index (P/F ratio: PaO2/FiO2 ≤300 mmHg). Read More

Jt Comm J Qual Patient Saf 2020 May 11. Epub 2020 May 11.

Background: The Hospital-Acquired Condition Reduction Program (HACRP) from the Centers for Medicare & Medicaid Services (CMS) reduces Medicare payments to hospitals with high rates of hospital-acquired conditions (HACs) by 1% each year. It is not known how the savings accruing to CMS from such penalties compare to savings resulting from a reduction in HACs driven by this program. This study compares the reported savings to CMS from financial penalties levied under the HACRP with savings resulting from potential reductions in HACs. Read More

Emerg Med Australas 2020 Jun 21. Epub 2020 Jun 21.

Ambulance Victoria, Melbourne, Victoria, Australia.

Objective: To determine the frequency of finger thoracostomy performed by intensive care flight paramedics after the introduction of a training programme in this procedure and complications of the procedure that were diagnosed after hospital arrival.

Methods: This was a retrospective cohort study of adult and paediatric trauma patients undergoing finger thoracostomy performed by paramedics on a helicopter emergency medical service between June 2015 and May 2018. Hospital data were obtained through a manual search of the medical records at each of the three receiving major trauma services. Read More

J Ultrasound 2020 Jun 19. Epub 2020 Jun 19.

Department of Emergency Medicine, Fondazione Poliambulanza, Brescia, Italy.

In December 2019, a novel coronavirus (SARS-Cov-2) was first reported in Wuhan, China, and rapidly spread around the world, leading to an international emerging public health emergency. As reported from Chinese experiences, approximately 20% of patients had a severe course, requiring intensive care, with an overall case fatality rate of 2.3%. Read More

Arch Dis Child Fetal Neonatal Ed 2020 Jun 19. Epub 2020 Jun 19.

Faculty of Medicine and Public Health, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.

Objective: We aimed to systematically review and analyse the outcomes of non-endotracheal suctioning (non-ETS) versus ETS in non-vigorous meconium-stained neonates.

Design: We conducted a systematic review of non-ETS and ETS in non-vigorous infants born through meconium-stained amniotic fluid (MSAF). We searched PubMed/Medline, Scopus, Clinical Trials. Read More

PLoS One 2020 19;15(6):e0234919. Epub 2020 Jun 19.

Department of Gastroenterological Surgery, Kumamoto University, Kumamoto, Japan.

Background: The ribcage and diaphragm are mechanical barriers for laparoscopic access during hepatectomy. Here, we introduce the varied application of intercostal trans-diaphragmatic ports during laparoscopic hepatectomy, and describe the management of intercostal ports with key technical points.

Methods: From January 2013 to December 2017, 180 patients underwent laparoscopic hepatectomy. Read More

J Comput Assist Tomogr 2020 Jun 16. Epub 2020 Jun 16.

From the Department of Radiology, Xuzhou Central Hospital, Xuzhou, China.

Purpose: This study aimed to compare the feasibility, safety, diagnostic accuracy, and radiation dose between computed tomography (CT) fluoroscopy (CTF)-guided and conventional CT (CCT)-guided lung biopsy.

Methods: Relevant articles up until February 2020 were identified within the PubMed, Embase, and Cochrane Library databases. Diagnostic accuracy rate, pneumothorax, and pneumothorax requiring chest tube served as primary end points, with technical success, hemoptysis, operative time, and radiation dose serving as secondary end points. Read More

Diagn Interv Radiol 2020 Jun 19. Epub 2020 Jun 19.

Department of Radiology, Ege University Faculty of Medicine, Izmir, Turkey.

Purpose: We aimed to demonstrate the computed tomography (CT) findings observed at the initial presentation of coronavirus disease 2019 (COVID-19) pneumonia and reveal the most frequent infiltration and distribution patterns of the disease.

Methods: One hundred and eighty-five patients (87 men, 98 women; mean age, 48.7 years), who underwent RT-PCR sampling and high-resolution CT examination in our hospital between March 15, 2020, and April 15, 2020, and got a definitive diagnosis of COVID-19 disease via initial or follow-up RT-PCR test, were included in the study. Read More

Pneumologie 2020 Jun 17;74(6):371-373. Epub 2020 Jun 17.

Abteilung für Kardiologie, Rhythmologie und konservative Intensivmedizin, Augusta-Krankenhaus Düsseldorf, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf.

History:  An 80-year old female was referred to our hospital with left internal carotid artery stenosis and a childhood history of hemoptysis.

Investigations And Diagnosis:  The ECG showed 2nd degree Mobitz atrio-ventricular block. The chest x-ray and computerized tomography identified a shift of the mediastinum and the heart to the left. Read More

Infection 2020 Jun 18. Epub 2020 Jun 18.

Department of General, Trauma and Reconstructive Surgery, Munich University Hospitals, Ludwig-Maximilians-University, Nussbaumstr. 20, 80336, Munich, Germany.

Purpose: Especially in elderly and multimorbid patients, Coronavirus Disease 2019 (COVID-19) may result in severe pneumonia and secondary complications. Recent studies showed pneumothorax in rare cases, but tension pneumothorax has only been reported once.

Case Presentation: A 47-year-old male was admitted to the emergency department with fever, dry cough and sore throat for the last 14 days as well as acute stenocardia and shortage of breath. Read More

Pulmonology 2020 Jun 14. Epub 2020 Jun 14.

Serviço de Pneumologia do Centro Hospitalar e Universitário de Coimbra, EPE, Coimbra, Portugal.

JACC Clin Electrophysiol 2020 Jun 16;6(6):661-671. Epub 2020 Mar 16.

Kansas City Heart Rhythm Institute and Research Foundation, Kansas City, Kansas.

Objectives: This study sought to evaluate the efficacy and safety of venous access techniques for cardiac implantable electronic device (CIED) implantation.

Background: Minimally invasive transvenous access is a fundamental step during implantation of CIEDs. However, the preferred venous access is still subject to ongoing debate, and the decision depends on patient characteristics and operator experience. Read More

Turk Gogus Kalp Damar Cerrahisi Derg 2019 Jun 22;28(2):347-351. Epub 2020 Apr 22.

Department of Thoracic Surgery, Çiğli Regional Training Hospital, Izmir, Turkey.

Background: This study aims to compare the effectiveness of single-port and two-port video-assisted thoracoscopic surgery in patients with pneumothorax.

Methods: Between June 2016 and December 2018, a total of 44 patients (39 males, 5 females; mean age 27.0±9. Read More

Cureus 2020 May 16;12(5):e8161. Epub 2020 May 16.

Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, USA.

A typical presentation of a foreign body aspiration (FBA) in a child includes witnessed choking, respiratory distress, cyanosis, coughing, wheezing, diminished breath sounds, and/or altered mental status. Following an extensive literature review, we found pneumothorax occurring secondary to FBA is a rare occurrence and should elicit prompt treatment. This 17-month-old female was admitted for respiratory syncytial virus (RSV) bronchiolitis and developed a subsequent pneumothorax during her hospital stay, consequent to aspiration of a cashew fragment two weeks before presentation. Read More

Int J Adolesc Med Health 2020 Jun 7. Epub 2020 Jun 7.

Department of Pediatric Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

Aim Primary spontaneous pneumothorax (PSP) is a rare pulmonary pathology that occurs in the absence of known lung disease. A retrospective study was performed to evaluate the results and outcome of PSP treatment in adolescents. Methods The cases with PSP from January 2004 to December 2017 were evaluated for age, sex, family and smoking history, clinical and radiological findings and results of treatment. Read More

Monaldi Arch Chest Dis 2020 Jun 12;90(2). Epub 2020 Jun 12.

Emergency Department; Azienda Ospedaliero-Universitaria Pisana, Pisa University Hospital, Italy.

The number of patients treated with direct oral anticoagulants is increasing worldwide. Although bleeding complications associated with direct oral anticoagulants are lower than those associated with vitamin K antagonists, the increased number of patients treated with these anticoagulants suggests that a higher absolute number of patients are at risk. Tube thoracostomy is an invasive procedure with a high risk of bleeding. Read More