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J Clin Med 2019 Mar 18;8(3). Epub 2019 Mar 18.

Department of Surgery, College of Medicine, National Taiwan University Hospital and National Taiwan University, Taipei 100, Taiwan.

Background: An ideal preoperative localization method is essential for the resection of small and deep-seated pulmonary nodules by video-assisted thoracoscopic surgery (VATS) in the era of low-dose computed tomography (CT) screening. This study describes a new localization method using electromagnetic navigation bronchoscopy (ENB) and compares it against conventional percutaneous CT-guided methods.

Methods: Between January 2016 and May 2018, 18 consecutive patients with a total of 27 pulmonary nodules underwent ENB localization using patent blue vital dye before thoracoscopy for lung resection at the National Taiwan University Hospital. Read More

Acute Med 2018 ;17(4):217-225

MB.BCh FRCP, Clinical Lead for Acute Medicine, Honorary Clinical Senior Lecturer, UCL Acute Medicine Training Programme Director, NC & E London, Royal Free London NHS Foundation Trust, Royal Free Hospital.

Pneumothorax is defined as the presence of air in the pleural space, between the lung and the chest wall. It is a significant global health problem, with considerable morbidity and healthcare costs. Best management strategy remains controversial, with significant variation in practise, both nationally and internationally. Read More

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2019 Jan;37(1):56-60

Hunan institute of Occupational Disease Prevention and Treatment, Changsha 410007, China.

To investigate the safety and influencing factors of ct-guided percutaneous lung biopsy in pneumoconiosis patients. The data of 63 patients with pneumoconiosis who underwent ct-guided percutaneous lung biopsy in our hospital were studied to analyze the incidence of complications and influencing factors of percutaneous lung biopsy. 63 cases of pneumoconiosis patients received CT guided percutaneous lung biopsy. Read More

PLoS One 2019 18;14(3):e0213990. Epub 2019 Mar 18.

Institute of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.

Objectives: To evaluate frequency and severity of complications after CT-guided lung biopsy using the Society of Interventional Radiology (SIR) classification, and to assess risk factors for overall and major complications.

Materials And Methods: 311 consecutive biopsies with a non-coaxial semi-automated 18 gauge biopsy system were retrospectively evaluated. Complications after biopsy were classified into minor SIR1-2 and major SIR3-6. Read More

Medicine (Baltimore) 2019 Mar;98(11):e14831

Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.

Thoracoscopic resection of small subsolid nodules is challenging and requires preoperative localization. We investigated the efficacy, safety, and factors affecting accuracy in localizing pulmonary nodules with electromagnetic navigation bronchoscopy (ENB)-guided dye marking.Patients with small subsolid nodule(s) who underwent thoracoscopic resection after ENB-guided dye marking were retrospectively reviewed. Read More

J Matern Fetal Neonatal Med 2019 Mar 17:1-11. Epub 2019 Mar 17.

a Department of Pediatrics , Hat Yai Medical Education Center , Hat Yai Hospital , Hat Yai , Thailand.

Objective: To determine the risk factors and outcomes of persistent pulmonary hypertension of the newborn (PPHN)-associated pneumothorax (PTX).

Study Design: The medical records of infants diagnosed with PPHN with or without PTX from January 2012 to July 2017 were retrospectively reviewed.

Results: Of the 102 included PPHN infants, PTX was found in 32 (31. Read More

Surgery 2019 Mar 14. Epub 2019 Mar 14.

Department of Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Background: The transition from fourth-year medical student to surgical intern is difficult. A lack of repetitions, experience, and knowledge is problematic. We report our experience using simulation-based technical and nontechnical skills to assess the competency of surgical interns in July and January of their intern year. Read More

Int J Surg 2019 Mar 13. Epub 2019 Mar 13.

Division of Thoracic Surgery, Department of Surgery, Kaohsiung-Veterans General Hospital, Kaohsiung, Taiwan; Division of Trauma, Department of Emergency, Kaohsiung-Veterans General Hospital, Kaohsiung, Taiwan; Department of Cosmetic Science, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan, Taiwan. Electronic address:

Background: Serious blunt chest trauma usually induces hemothorax, pneumothorax, and rib fracture. Early video-assisted thoracoscopic surgery (VATS) to evacuate retained hemothorax is one commonly used treatment. In this study, a new strategy was implemented to combine VATS with fractured rib fixation simultaneously. Read More

J Gen Fam Med 2019 Mar 21;20(2):72-73. Epub 2018 Dec 21.

Department of Pulmonary Medicine Yokkaichi Municipal Hospital Yokkaichi-shi, Mie Japan.

We present the case of a 73-year-old woman who developed pneumothorax for the first time that was a clinical clue to the diagnosis of Birt-Hogg-Dubé (BHD) syndrome. Although younger onset of pneumothorax is more common in BHD syndrome, the characteristic chest CT findings may contribute to the diagnosis of this disorder in spontaneous pneumothorax of the elderly. Read More

Clin Med (Lond) 2019 Mar;19(2):163-168

Royal Stoke University Hospital, Stoke-on-Trent, UK.

Management of primary spontaneous pneumothorax (PSP) depends on the symptoms and size of lung collapse. The British Thoracic Society recommends needle aspiration (NA) for all PSP requiring intervention, followed by intercostal drain (ICD) if NA fails. We compared the role of NA versus ICD as the first step in PSP with 'complete lung collapse'. Read More

Ann Thorac Surg 2019 Mar 11. Epub 2019 Mar 11.

Lungclinic, City Hospital of Cologne, Department of Thoracic Surgery, University of Witten-Herdecke, City Hospital of Cologne, Ostmerheimer-Str. 200, 51109 Cologne, Germany.

J Clin Med 2019 Mar 12;8(3). Epub 2019 Mar 12.

Department of Anesthesiology and Pain Medicine, Chungnam National University Hospital, 282 Munhwa-ro, Jung-gu, Daejeon 35015, Korea.

Background: The addition of the adjuvant dexmedetomidine to a nerve block improves the quality of the block and reduces perioperative opioid consumption. The aim of this study was to assess the effect of dexmedetomidine as an adjuvant for the thoracic paravertebral block (TPVB) in postoperative pain control after video-assisted thoracoscopic surgery (VATS).

Methods: Sixty-six males, aged 15⁻40 years, with spontaneous pneumothorax scheduled for VATS wedge resection were enrolled. Read More

Australas Phys Eng Sci Med 2019 Mar 13. Epub 2019 Mar 13.

Department of Cardiovascular Surgery, German Heart Center Munich at the Technische Universität München, Lazarettstrasse 36, 80636, Munich, Germany.

Following cardiac surgical procedures, multiple drainage systems remain in place inside the patient's chest to prevent the development of pericardial effusion or pneumothorax. Therefore, postoperative bleeding must be diligently observed. Currently, observation of the exudate rate is performed through periodical visual inspection of the reservoir. Read More

Multidiscip Respir Med 2019 4;14. Epub 2019 Mar 4.

1Respiratory Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Background: Chest Ultrasonography (chest US) has shown good sensibility in detecting pneumothorax, pleural effusions and peripheral consolidations and it can be performed bedside.

Objectives: The aim of the study was to analyze agreement between chest US and chest X-ray in patients who have undergone thoracic surgery and discuss cases of discordance.

Methods: Patients undergoing thoracic surgery were retrospectively selected. Read More

J Chin Med Assoc 2019 Mar 7. Epub 2019 Mar 7.

Department of Pediatrics, Taipei Veterans General Hospital.

Background: Primary spontaneous pneumothorax (PSP) has a high rate of recurrence, and pleurodesis has been shown to decrease the rate of recurrence in adult PSP. For pediatric PSP patients, there are only a few case series available, and evidence on the benefits of pleurodesis is insufficient. This study aimed to analyze the outcome of pleurodesis among pediatric PSP patients via a nationwide population-based cohort in Taiwan. Read More

Cardiovasc Intervent Radiol 2019 Mar 12. Epub 2019 Mar 12.

Department of Radiology, Concord Repatriation General Hospital, Sydney, Australia.

This systematic review and meta-analysis investigated post-biopsy manoeuvres to reduce pneumothorax following computed tomography-guided percutaneous transthoracic lung biopsy. Twenty-one articles were included with 7080 patients. Chest drain insertion rates were significantly reduced by ninefold with the normal saline tract sealant compared to controls (OR 0. Read More

J Thorac Dis 2019 Jan;11(1):171-176

Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Background: We herein report the usefulness of two types of talc pleurodesis for secondary pneumothorax of elderly patients with persistent air leak who have severe pulmonary emphysema.

Methods: We assessed 17 elderly patients with persistent air leak who received talc pleurodesis for secondary pneumothorax from April 2013 to March 2017. Thoracoscopic talc poudrage (TTP) (n=11) was performed in patients whose general condition was thought to sufficiently stable to tolerate for general anesthesia. Read More

J Formos Med Assoc 2019 Mar 9. Epub 2019 Mar 9.

Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taiwan.

Background/purpose: In video-assisted thoracic surgery (VATS) resection of small lung nodules, preoperative dye marking around the visceral pleura provides surface localization to help initiate resection, while implantation of a fiducial marker such as a microcoil can provide inner localization to aid nodule resection under fluoroscopic guidance. We aimed to determine whether dual localization with microcoil placement and dye marking is safe and useful for guiding the resection of small deep-seated lung nodules.

Methods: We retrospectively evaluated data pertaining to 39 consecutive patients (40 nodules) managed between January 2016 and December 2017 in our hospital. Read More

J Med Radiat Sci 2019 Mar 11. Epub 2019 Mar 11.

Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Purpose: With several studies recording a higher percentage of complications in the first hour of post-biopsy, this study sought to evaluate the safety in the reduction in post-biopsy patient monitoring time after computed tomography (CT)-guided thoracic biopsies, providing a basis for further research.

Materials And Methods: This was a retrospective study involving patients who were referred to our centre for CT-guided thoracic biopsies from January 2010 to December 2017. Patients who presented with no complications immediately after the post-biopsy CT scan were given 30 min of post-biopsy care after which they were discharged, and given a hot line to call in case of any complication. Read More

Respir Med Case Rep 2019 22;26:299-300. Epub 2019 Feb 22.

Oakhill Hospital, Brooksville, FL, USA.

Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia in adults. Mycoplasma pneumoniae pneumonia (MPP) presents with pulmonary and extrapulmonary manifestations. Pneumothorax is a rare MPP complication in children. Read More

Curr Pulmonol Rep 2018 Jun 3;7(2):56-62. Epub 2018 Apr 3.

Division of Pulmonary, Critical Care, and Sleep Medicine, University of Cincinnati, 231 Albert Sabin Way, MSB Room 6053, ML 0564, Cincinnati OH 45267.

Purpose Of Review: Spontaneous pneumothorax (SP) is a common manifestation of patients with diffuse cystic lung diseases (DCLDs) such as lymphangieoleiomyomatosis (LAM), pulmonary Langerhans cell histiocytosis (PLCH) and Birt-Hogg-Dubé syndrome (BHD). Air travel may pose an additional risk for the development of SP. Here, we summarize the literature pertaining to air travel related SP in DCLDs in order to assist patients and clinicians in appropriate decision-making with regards to air travel. Read More

J Xray Sci Technol 2019 Mar 2. Epub 2019 Mar 2.

Department of Radiodiagnosis, AIIMS Patna, Phulwarisharif, Bihar, India.

Objective: Intermittent CT fluoroscopic biopsy is a new technology, but has not been studied widely. This study aims to investigate correlation between the radiation dose and fluoroscopic CT exposure factors to establish the low dose parameters for performing percutaneous lung biopsies, as well as the relationship of the mean diameter and depth of lesions with radiation dose, procedure time, success and complication rates.

Materials And Methods: This is a retrospective study to analyse lung biopsies performed using intermittent CT fluoroscopic technique with 18 G semi-automated coaxial gun on 256 slice scanner. Read More

Khirurgiia (Mosk) 2019 (2):5-12

Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia.

Aim: To describe single-center evolution of the procedure and to evaluate the results of thoracoscopic clipping of patent ductus arteriosus (PDA) with diameter over 3,0 mm in term infants weighting over 4,0 kg.

Material And Methods: Thoracoscopic clipping of PDA has been performed in 140 patients for the period from March 2012 to March 2018 in Meshalkin National Medical Research Center. Mean age was 4. Read More

Medicine (Baltimore) 2019 Mar;98(10):e14575

Department of Emergency Services, The 5th Central Hospital of Tianjin, Tianjin, China.

This study aims to explore the effect of sequential acupoint stimulation on the postoperative pulmonary function of patients with spontaneous pneumothorax who underwent video-assisted thoracoscopic surgery (VATS).Using a random number table, the patients were randomly divided into 2 groups: routine nursing group and sequential acupoint stimulation group. Patients in the routine nursing group received standard nursing care of thoracic surgery, while patients in the acupoint group received sequential acupoint stimulation on Shenshu (BL23), Gaohuang (BL43), Feishu (BL13), and Tiantu (CV22). Read More

Ultrasound Q 2019 Mar 6. Epub 2019 Mar 6.

Department of Radiology, Health and Science University Konya Training and Research Hospital, Konya, Turkey.

We aimed to emphasize which method should be prioritized by comparing the ultrasound and computed tomography (CT) guidance for percutaneous transthoracic biopsy of pleural-based lung lesions in terms of comorbidity, diagnostic success, time, and costs.Approximately 700 biopsy procedures performed between 2014 and 2018 were retrospectively reviewed. The files of these patients and picture archiving and communication system were scanned. Read More

Ann Transl Med 2019 Jan;7(2):34

Division of Thoracic Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Video-assisted thoracic surgery (VATS) requires preoperative computed tomography (CT)-guided localization of small pulmonary nodules or ground glass opacities (GGOs). However, this traditional two-stage approach is not devoid of potential complications, including wire dislodgement, pneumothorax, and/or hemothorax. With the advent of hybrid operating rooms (HORs), simultaneous single-stage localization and removal of such lesions has become possible. Read More

Ann Transl Med 2019 Jan;7(2):28

Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taichung, Taiwan.

Background: For invisible or impalpable lung nodules, video-assisted thoracoscopic surgery (VATS) has some limitations; some preoperative localization has been developed to overcome this limitation. This study aimed to assess the safety and efficacy of preoperative computed tomography (CT)-guided localization with patent blue V dye.

Methods: In this retrospective study, we examined patients with solitary pulmonary nodule undergoing preoperative CT-guided patent blue V dye localization from 2013 to 2015. Read More

Heart Lung Circ 2019 Feb 22. Epub 2019 Feb 22.

Department of Cardiothoracic Surgery, The Prince Charles Hospital, Brisbane, Qld, Australia.

Background: Catamenial pneumothorax (CP) is an unusual condition affecting premenopausal women and commonly misdiagnosed as simple pneumothorax. It is characterised by its recurrence between the day before and within 72 hours after the onset of menstruation. It has been associated with thoracic endometriosis but the aetiology is not well understood and there is no unified agreement for its optimal management. Read More

Cardiovasc Intervent Radiol 2019 Mar 6. Epub 2019 Mar 6.

Radiology Department, Qingdao Municipal Hospital, No. 5 Donghai Road, Qingdao, 266071, People's Republic of China.

Purpose: The purpose of this technical report is to describe the technique of intratumoral injection of hypertonic glucose combined with low-negative pressure drainage to treat refractory pneumothorax (RP) after microwave ablation (MWA) of lung tumors.

Materials And Methods: Between September 2016 and May 2018, four patients who developed RP after MWA of peripheral lung cancer were managed by a combined method, including intratumoral injection of hypertonic glucose and catheter drainage under low-negative pressure. Blood gas values were recorded and compared before the treatment and one-week posttreatment. Read More

BMJ Case Rep 2019 Mar 4;12(3). Epub 2019 Mar 4.

Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.

A 38-year-old woman developed a spontaneous right-sided tension pneumothorax during light aircraft travel. The aircraft was diverted to a regional centre, where emergent needle thoracostomy and chest tube insertion were performed. History suggested that this was the second episode of pneumothorax, with an untreated event with similar symptomatology during air travel 1 year ago. Read More

Zhonghua Yi Xue Yi Chuan Xue Za Zhi 2019 Mar;36(3):225-228

Shandong Provincial Academy of Medical Science, School of Medical and Life Science, University of Ji'nan, Shandong 250022, China.

Objective: To explore the clinical and genetic features of a child with primary ciliary dyskinesia.

Methods: Genomic DNA of the child and her parents was extracted and subjected to targeted gene capture and next generation sequencing. Suspected mutation was verified by Sanger sequencing, with its nature and impact predicted by Bioinformatic analysis. Read More

SAGE Open Med Case Rep 2019 26;7:2050313X19833258. Epub 2019 Feb 26.

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

The occurrence of a pneumothorax using supraglottic device is a rare complication during general anesthesia. Moreover, less than 2% of pneumothoraxes can be related to lung metastases, most due to soft tissue sarcoma. We present the case of a 45-year-old female diagnosed with metastatic sarcoma who developed a bilateral pneumothorax after general anesthesia with supraglottic device. Read More

Gen Thorac Cardiovasc Surg 2019 Mar 4. Epub 2019 Mar 4.

Department of Thoracic Surgery, Ospedale San Raffaele, Scientific Institute and University Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy.

Ann Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Cardiothoracic Surgery, Division of Thoracic and Foregut Surgery, Pittsburgh, PA.

Objective: The aim of the study was to determine whether prolonged air leak (PAL) is associated with postoperative morbidity and mortality following pulmonary resection after adjusting for differences in baseline characteristics using propensity score analysis.

Summary Background Data: Patients with PAL after lung resection have worse outcomes than those without PAL. However, adverse postoperative outcomes may also be secondary to baseline risk factors, such as poor lung function. Read More

Pacing Clin Electrophysiol 2019 Mar 4. Epub 2019 Mar 4.

Division of Cardiology, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.

Background: Leadless pacemakers (LPMs) have been shown to have lower postoperative complications than traditional permanent pacemakers but there have been no studies on the outcomes of LPMs in patients with transcatheter heart valve replacements (THVRs). This study determined outcomes of LPMs compared to transvenous single-chamber pacemakers (SCPs) post-THVR.

Methods: This is a retrospective single-center study including 10 patients who received LPMs post-THVR between February 2017 and August 2018 and a comparison group of 23 patients who received SCP post-THVR between July 2008 and August 2018. Read More

Lung India 2019 Mar-Apr;36(2):102-107

Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Few studies have reported on the utility of ultrathin bronchoscopes (UTBs) for performing radial probe endobronchial ultrasound (EBUS). Herein, we describe our experience with UTB and conventional bronchoscope (CB) for performing radial EBUS.

Materials And Methods: This was a retrospective study comparing the diagnostic yield of a prototype UTB (external diameter 3 mm, working channel diameter 1. Read More

J Paediatr Child Health 2019 Mar;55(3):376

Neonatal Transfer Service, Royal London Hospital, London, United Kingdom.

BMJ Case Rep 2019 Mar 1;12(3). Epub 2019 Mar 1.

Northumbria Healthcare NHS Foundation Trust, North Shields, UK.

J Surg Res 2019 Feb 27;239:98-102. Epub 2019 Feb 27.

Center for Injury Sciences, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address:

Background: The insertion of a chest tube is a common procedure in trauma care, and the Advanced Trauma Life Support program teaches the insertion of chest tubes as an essential and life-saving skill. It is also recognized that the insertion of chest tubes is not without risks or complications. The purpose of this study was to evaluate complications of chest tube placement in a level 1 trauma center compared with those placed in surrounding referral hospitals. Read More

J Oral Maxillofac Surg 2019 Feb 5. Epub 2019 Feb 5.

Professor, Department of Oral and Maxillofacial Surgery, Loma Linda University School of Dentistry, Loma Linda; Private Practice, Riverside, CA.

Correction of maxillofacial skeletal dental deformities often includes surgical interventions in the maxilla and mandible. Le Fort I maxillary osteotomies are performed to correct maxillary horizontal, vertical, and transverse discrepancies. Repositioning of the maxilla creates an interpositional gap in bone that can lead to pseudoarthrosis, instability, mobility, infection, and eventual relapse. Read More

BMC Pulm Med 2019 Mar 1;19(1):56. Epub 2019 Mar 1.

Department of Respiratory Diseases, University Hospital Brno and Faculty of Medicine, Masaryk University, Jihlavska 20, 62500, Brno, Czech Republic.

Background: Pneumothorax (PTX) is one of the most common complications of transbronchial biopsy (TBB). Previous research suggests that upper pulmonary lobe TBB may be associated with increased risk of PTX development. The aim of this study was to compare the risk of PTX after TBB performed from different pulmonary lobes. Read More

Breathe (Sheff) 2018 Dec;14(4):e119-e122

Oxford Pleural Unit, Churchill Hospital, Oxford, UK.

http://ow.ly/vkoJ30mB4nZ. Read More

Am J Emerg Med 2019 Feb 20. Epub 2019 Feb 20.

Sanlıurfa Health Science University, Mehmet Akif Inan Training and Research Hospital, Emergency Service, Sanliurfa, Turkey.

Objective: Dyspnea is a common Emergency Department (ED) symptom requiring prompt diagnosis and treatment. The bedside lung ultrasonography in emergency (BLUE) protocol is defined as a bedside diagnostic tool in intensive care units. The aim of this study was to investigate the test performance characteristics of the BLUE-protocol ultrasonography in ED patients presenting with acute dyspnea. Read More

J Vasc Interv Radiol 2019 Mar;30(3):446-452

Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya Aichi, Japan.

Purpose: To evaluate the safety and efficacy of a mixture of indigo carmine and lipiodol (MIL) as a marker of pulmonary nodule before video-assisted thoracic surgery (VATS).

Materials And Methods: One hundred sixty-eight sessions of pulmonary marking were performed using MIL before VATS for 184 nodules (mean size, 1.2 ± 0. Read More

Am Surg 2019 Feb;85(2):e71-e73

J Thorac Imaging 2019 Feb 26. Epub 2019 Feb 26.

Department of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA.

Objectives: The purpose of this study was to evaluate the complications and diagnostic accuracy of computed tomography-guided percutaneous transthoracic needle biopsy (PTNB) in patients aged 80 years and older.

Materials And Methods: Consecutive PTNB procedures performed in an academic institution between July 2009 and June 2013 were reviewed. Procedures were performed according to a standard protocol using conscious sedation and rapid on-site pathology evaluation. Read More

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Pediatric Surgery, Centre Hospitalier Universitaire, Sainte-Justine, Canada; Esophageal Atresia Clinic, Department of Pediatric Gastroenterology, Centre Hospitalier Universitaire, Sainte Justine, Canada. Electronic address:

Purpose: This study examines the impact of postoperative noninvasive ventilation strategies on outcomes in esophageal atresia-tracheoesophageal fistula (EA-TEF) patients.

Methods: A single center retrospective chart review was conducted on all neonates followed at the EA-TEF Clinic from 2005 to 2017. Primary outcomes were: survival, anastomotic leak, stricture, pneumothorax, and mediastinitis. Read More

Case Rep Pulmonol 2019 27;2019:6583842. Epub 2019 Jan 27.

Department of Internal Medicine, The Queen's Medical Center, Honolulu, HI 96813, USA.

Background: Simultaneous bilateral primary spontaneous pneumothorax (SBPSP) is an extremely rare and potentially fatal condition. Patients usually have no relevant medical conditions. Some cases, however, may have certain risk factors such as smoking, being young, and male gender. Read More