2,014 results match your criteria Tube Thoracostomy

Allogenic blood patch pleurodesis for management of pneumothorax in a Cavalier King Charles Spaniel puppy with multiple pulmonary blebs and bullae.

J Vet Intern Med 2022 Jun 24. Epub 2022 Jun 24.

School of Veterinary Medicine, University College Dublin, Dublin, Ireland.

A 9-week-old male intact Cavalier King Charles Spaniel was presented for evaluation of acute onset dyspnea caused by left-sided pneumothorax. Thoracic computed tomography (CT) identified multiple pulmonary bullae and blebs in multiple lung lobes. Rupture of ≥1 pulmonary blebs or bullae, precipitated by low impact trauma, was the suspected cause of pneumothorax. Read More

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Compensatory reserve and pulse character: Enhanced potential to predict urgency for transfusion and other life-saving interventions after traumatic injury.

Transfusion 2022 Jun 24. Epub 2022 Jun 24.

Division of Trauma and Emergency Surgery, UT Health San Antonio, San Antonio, Texas, USA.

Background: Field triage of trauma patients requires timely assessment of physiologic status to determine resuscitative needs. Vital signs and rudimentary assessments such as pulse character (PC) are used by first responders to guide decision making. The compensatory reserve measurement (CRM) has demonstrated utility as an easily interpretable method for assessing patient status. Read More

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The Volume of Thoracic Irrigation Is Associated With Length of Stay in Patients With Traumatic Hemothorax.

J Surg Res 2022 Jun 17;279:62-71. Epub 2022 Jun 17.

Department of Surgery, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV.

Introduction: Irrigation of the thoracic cavity at tube thoracostomy (TT) placement may decrease the rate of a retained hemothorax (RHTX); however, other resource utilization outcomes have not yet been quantified. This study evaluated the association of thoracic irrigation during TT with the length of stay and outcomes in patients with traumatic hemothorax (HTX).

Methods: A retrospective chart review was performed of adult patients receiving a TT for HTX at a single, urban Level 1 Trauma Center from January 2019 to December 2020. Read More

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Clinical Practices in Central Venous Catheter Mechanical Adverse Events.

J Intensive Care Med 2022 Jun 20:8850666221076798. Epub 2022 Jun 20.

Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.

Over 5 million central venous catheters (CVCs) are placed annually. Pneumothorax and catheter malpositioning are common adverse events (AE) that requires attention. This study aims to evaluate local practices of mechanical complication frequency, type, and subsequent intervention(s) related to mechanical AE with an emphasis on catheter malpositioning. Read More

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Role of Transbronchial Lung Cryobiopsy in the Diagnosis of Interstitial Lung Disease: A Meta-analysis of 68 Studies and 6300 Patients.

J Bronchology Interv Pulmonol 2022 May 9. Epub 2022 May 9.

Division of Pulmonary, Critical Care, and Sleep Medicine.

Background: Diagnosis of interstitial lung disease (ILD) is based on multidisciplinary team discussion (MDD) with the incorporation of clinical, radiographical, and histopathologic information if available. We aim to evaluate the diagnostic yield and safety outcomes of transbronchial lung cryobiopsy (TBLC) in the diagnosis of ILD.

Methods: We conducted a meta-analysis by comprehensive literature search to include all studies that evaluated the diagnostic yields and/or adverse events with TBLC in patients with ILD. Read More

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Recurrent chylopericardium in a patient with history of left leg sarcoma.

J Surg Case Rep 2022 May 27;2022(5):rjac245. Epub 2022 May 27.

Department of Internal Medicine, Hospital Episcopal San Lucas, Ponce, Puerto Rico.

Chylopericardium is a rare condition that is characterized by the presence of chyle in the pericardial space due to idiopathic (primary) or secondary causes. We present a 43-year-old female with hypothyroidism and left lower extremity sarcoma which were treated with resection and adjuvant chemoradiotherapy that was found with moderate pericardial effusion in surveillance tests. The patient was initially treated with tube thoracostomy and conservative management but presented with recurrence. Read More

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Distal Tracheal Obstructive Mass Leading to Bilateral Pneumothorax and Respiratory Failure.

Open Access Emerg Med 2022 25;14:217-222. Epub 2022 May 25.

Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Tracheal masses are rare in occurrence, but could lead to complications depending on the speed of growth, duration and degree of obstruction. Some of the complications are recurrent pneumonia and air trapping resulting in increased intrathoracic pressure. The latter phenomenon can result in obstruction of the venous return and pneumothorax. Read More

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Total endoluminal repair of aorto-oesophageal fistula.

BMJ Case Rep 2022 Jun 1;15(6). Epub 2022 Jun 1.

Mid and South Essex Vascular Unit, Mid and South Essex Hospitals NHS Foundation Trust, Basildon, Essex, UK

A woman in her 50s presented to the Emergency Department, following massive haematemesis, having swallowed a single tooth denture 3 years previously. Endoscopy initially revealed profuse bleeding at 20cm from the incisors, initially treated with an oesophageal covered stent. Following ongoing haematemesis, a thoracic and abdominal CT angiogram demonstrated an aorto-oesophageal fistula, which was successfully treated with a thoracic endograft and left tube thoracostomy. Read More

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Reexpansion Pulmonary Edema following Tube Thoracostomy in a Pediatric Patient with Anterior Mediastinal Mass.

Case Rep Anesthesiol 2022 19;2022:8547611. Epub 2022 May 19.

Anesthesia and Perioperative Medicine, Pediatric Anesthesia, Medical University of South Carolina, 10 McClennan Banks Drive, Suite 2190, MSC 940, Charleston, South Carolina 29425, USA.

Reexpansion pulmonary edema (RPE) is an exceedingly rare and potentially fatal complication of a rapidly reexpanded lung following evacuation of air or fluid from the pleural space secondary to conditions such as a mediastinal mass, pleural effusion, or pneumothorax. Clinical presentations can range from mild radiographic changes to acute respiratory failure and hemodynamic instability. The rapidly progressive nature of the disease makes it important for clinicians to appropriately diagnose and manage patients who develop RPE. Read More

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Which Model is Better to Teach How to Perform Tube Thoracostomy: Synthetic, Cadaver, or Animal?

J Surg Res 2022 May 25;278:240-246. Epub 2022 May 25.

Hospital das Clínicas from University of São Paulo, São Paulo, Brazil.

Introduction: The lack of standardized skill training reported by medical students in performing tube thoracostomies may be associated with higher complications. The ideal training model is yet to be determined. This study sought to evaluate three different models. Read More

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Surgical outcomes and the factors affecting lung expansion following open window thoracostomy in chronic tuberculous empyema with destroyed lung.

Asian Cardiovasc Thorac Ann 2022 May 29:2184923221104431. Epub 2022 May 29.

Department of Thoracic Surgery, National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India.

Background: Patients with chronic tuberculous empyema and destroyed lung on a prolonged intercostal tube with failed lung expansion considered unsuitable for single-lung ventilation have poor outcomes. The study's objective was to analyze the surgical outcomes and lung expansion factors in these patients following the open window thoracostomy (OWT) procedure.

Methods: In a prospective study, patients (males = 63, females = 12) diagnosed with tuberculosis who underwent OWT were analyzed between 2017 and 2018. Read More

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Successful Video-Assisted Thoracoscopic Removal of a Chest Tube Protruding Deep Into the Pulmonary Hilum.

Cureus 2022 Apr 23;14(4):e24406. Epub 2022 Apr 23.

Department of Thoracic Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, JPN.

Tube thoracostomy is an invasive procedure frequently used to drain pleural fluid collections or to manage pneumothorax, wherein the lungs commonly sustain trauma. In some cases, deep pulmonary hilar injuries are managed by anatomical lung resections. A deep hilar injury with the chest tube protruding into the lung parenchyma is a rare complication of tube thoracostomy. Read More

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Reduced survival in patients requiring chest tubes with COVID-19 acute respiratory distress syndrome.

JTCVS Open 2022 Jun 20;10:471-477. Epub 2022 Apr 20.

Department of Anesthesiology and Critical Care, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa.

Background: Numerous complications requiring tube thoracostomy have been reported among critically ill patients with COVID-19; however, there has been a lack of evidence regarding outcomes following chest tube placement.

Methods: We developed a retrospective observational cohort of all patients admitted to an intensive care unit (ICU) with confirmed COVID-19 to describe the incidence of tube thoracostomy and factors associated with mortality following chest tube placement.

Results: In total, 1705 patients with laboratory confirmed COVID-19 patients were admitted to our ICUs from March 7, 2020, to March 1, 2021, with 69 out of 1705 patients (4. Read More

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Traumatic pneumothorax: updates in diagnosis and management in the emergency department.

Emerg Med Pract 2022 Apr 15;25(5, Suppl 1):1-28. Epub 2022 Apr 15.

Duke University School of Medicine, Durham, NC.

Pneumothorax, or air in the pleural space, is common in trauma, and has been found in up to 50% of severe polytrauma patients with chest injury. Findings associated with pneumothorax include dyspnea, chest pain, tachypnea, and absent breath sounds on lung auscultation. Although pneumothorax is traditionally diagnosed on plain film and confirmed with CT, the advent of portable ultrasonography has provided a way to rapidly diagnose pneumothorax, with a higher sensitivity than plain film. Read More

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Diagnosis and Management of Malignant Pleural Effusion: A Decade in Review.

Diagnostics (Basel) 2022 Apr 18;12(4). Epub 2022 Apr 18.

Section of Pulmonary, Critical Care and Sleep Medicine, The University of Oklahoma Health Sciences Center and The Oklahoma City VA Health Care System, Oklahoma City, OK 73104, USA.

Malignant pleural effusion (MPE) is a common complication of thoracic and extrathoracic malignancies and is associated with high mortality. Treatment is mainly palliative, with symptomatic management achieved via effusion drainage and pleurodesis. Pleurodesis may be hastened by administering a sclerosing agent through a thoracostomy tube, thoracoscopy, or an indwelling pleural catheter (IPC). Read More

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What Operations Should a Modern Rural Surgeon Do? State-of-the-Art Lecture.

Am Surg 2022 Apr 21:31348221086799. Epub 2022 Apr 21.

12343Texas Tech University Health Sciences Center, Lubbock, TX, USA.

Rural patients have fewer complications and deaths, shorter hospital stay, and less resource utilization than their urban counterparts. They also tend to have fewer chronic illnesses; this reflects a system working as intended, with high-risk patients transferred to better-resourced institutions, while others receive surgical care closer to home. Deciding which operations a modern rural surgeon should-and shouldn't-perform starts with the question "Who decides?" Government, insurers, hospitals, surgeons, and patients are all stakeholders, with a vested interest in the answer. Read More

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Septic pericardial disease and mediastinal abscessation in a cat with an intrathoracic needle foreign body.

J Vet Emerg Crit Care (San Antonio) 2022 Apr 20. Epub 2022 Apr 20.

Canada West Veterinary Specialists and Critical Care Hospital, Vancouver, British Columbia, Canada.

Objective: To describe the successful management of a cat with an intrathoracic sewing needle foreign body and septic pericardial effusion.

Case Summary: A 10-year-old neutered female domestic longhair cat was referred for an intrathoracic metallic foreign body identified via thoracic radiography. Two weeks prior, the cat may have ingested a sewing needle. Read More

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Diagnostic Inaccuracies Using Extended Focused Assessment With Sonography in Trauma for Traumatic Pneumothorax.

Am Surg 2022 Apr 17:31348221087926. Epub 2022 Apr 17.

Department of Emergency Medicine, 12279Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Background: Traumatic pneumothorax (PTX) can be deadly, and rapid diagnosis is vital. Ultrasound (US) is rapidly gaining acceptance as an accurate bedside diagnostic tool. While making the diagnosis is important, not all PTX require tube thoracostomy. Read More

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Retrospective Evaluation of the Use and Complications of Small-Bore Wire-Guided Thoracostomy Tubes in Dogs and Cats: 156 Cases (2007-2019).

Front Vet Sci 2022 31;9:818055. Epub 2022 Mar 31.

Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, Calgary, AB, Canada.

Background: Small-bore wire-guided thoracostomy tubes (SBWGTT) are commonly used in small animals for management of pleural space disease. We aimed to evaluate the indications, placement locations, types of complications, and complication rate of small-bore wire-guided thoracostomy tube placements in dogs and cats in a university setting.

Methods: Electronic medical records of patients that underwent SBWGTT placement were reviewed. Read More

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Bronchopleural fistula due to cavitary pneumonia after SARS-CoV-2 infection treated with open thoracostomy.

J Surg Case Rep 2022 Apr 11;2022(4):rjac076. Epub 2022 Apr 11.

Department of Surgery, Veterans Affairs Medical Center, West Roxbury, MA 02132, USA.

Severe coronavirus disease of 2019 (COVID-19) disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection causes substantial parenchymal damage in some patients. There is a paucity of literature describing the surgical management COVID-19 associated bronchopleural fistula after failure of medical therapy. We present the case of a 59-year-old woman with SARS-CoV-2 pneumonia, secondary bacterial pneumonia with bronchopleural fistula and radiographic and clinical evidence of disease refractory to medical therapy. Read More

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Bronchoscopic Intra-Pleural Instillation of Fibrin Glue and Autologous Blood to Manage Persistent Air Leaks after Lung Resection.

J Clin Med 2022 Mar 30;11(7). Epub 2022 Mar 30.

Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.

Background Persistent air leak is a common complication after lung resection causing prolonged length of stay and increased healthcare costs. Surgical intervention can be an option, but other more conservative approaches should be considered first. Here, we describe the use of flexible bronchoscopy to apply fibrin glue and autologous blood sequentially to the damaged lung. Read More

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Development and validation of the first performance assessment scale for interdisciplinary chest tube insertion: a prospective multicenter study.

Eur J Trauma Emerg Surg 2022 Apr 4. Epub 2022 Apr 4.

Emergency Department, University Hospital of Lariboisière, 75010, Paris, France.

Purpose: Chest tube insertion requires interdisciplinary teamwork including an emergency surgeon or physician in conjunction with a nurse. The purpose of the study was to validate an interdisciplinary performance assessment scale for chest tube insertion developed from literature analysis.

Methods: This prospective study took place in the simulation center of the University of Paris. Read More

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Pulmonary Artery Cannulation Complicating Tube Thoracostomy.

Ann Am Thorac Soc 2022 04;19(4):682-684

Division of Pulmonary, Critical Care, and Sleep Medicine, Wexner Medical Center, The Ohio State University, Columbus, Ohio.

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Pyopneumothorax of unusual aetiology.

Trop Doct 2022 Mar 23:494755221089461. Epub 2022 Mar 23.

Department of Respiratory Medicine, 77239Chettinad Hospital and Research Institute, Chennai, India.

A 50-year old diabetic male presented with cough, breathlessness, fever, and chest pain. Clinical and radiological evaluation revealed a right-sided pyopneumothorax. Surgical drainage with tube thoracostomy was performed. Read More

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Supracostal percutaneous nephrolithotomy, a safe and effective approach: A clinical audit.

J Pak Med Assoc 2022 Feb;72(2):287-291

South Asian Institute of Urology and Nephrology (SAIUN) A Unit NSM Health Care Karachi, Pakistan.

Objective: To emphasize on safety principles through anatomic approach in Supracostal Percutaneous nephrolithotomy (PCNL).

Methods: Data of patients who underwent PCNL from June 2004 to August 2014 at the Kidney Centre Karachi, Pakistan were reviewed. Patients above 14 years of age with Supracostal Access were included in study. Read More

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February 2022

Community-Acquired, Post-COVID-19, Methicillin-Resistant Staphylococcus aureus Pneumonia and Empyema.

Cureus 2022 Feb 11;14(2):e22121. Epub 2022 Feb 11.

Pulmonary/Critical Care Medicine, Salem Pulmonary Associates/Salem Health, Salem, USA.

The coronavirus disease 2019 (COVID-19) pandemic has presented unprecedented challenges to the healthcare system globally, with opportunistic and secondary infections being one of the biggest challenges. Most secondary infections occur as nosocomial infections due to exposure to multidrug-resistant organisms in healthcare facilities. Secondary bacterial pneumonia complicates the care of hospitalized COVID-19 pneumonia patients. Read More

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February 2022

Recurrent spontaneous subcutaneous emphysema of unknown origin: A case report with literature review.

Ann Med Surg (Lond) 2022 Apr 2;76:103443. Epub 2022 Mar 2.

Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.

Introduction: Subcutaneous emphysema caused by a surgical operation is known as surgical emphysema, and if the cause is unknown, it is known as spontaneous subcutaneous emphysema. The current study aims to report a rare case of recurrent spontaneous SE of unknown origin.

Case Report: A 27-year-old male patient presented with swelling of the chest, neck, and face that had started 20 days prior. Read More

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Factors related to clinical outcomes in blunt thoracic injuries.

Gen Thorac Cardiovasc Surg 2022 Mar 12. Epub 2022 Mar 12.

Department of Thoracic Surgery, School of Medicine, Kahramanmaras Sutcu Imam University, Avsar Yerleskesi, Onikisubat, 46050, Kahramanmaras, Turkey.

Objectives: This study aims to reduce mortality and morbidity by analyzing the factors associated with blunt chest trauma.

Methods: In this study, 1020 patients with blunt thoracic trauma were analyzed retrospectively. Major surgeries, complications, admission to intensive care unit, intubation, mortality, prolonged hospital stay were considered poor clinical outcomes. Read More

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Stapled Full-Thickness Diaphragm Resection: A Novel Approach to Diaphragmatic Resection in Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy.

J Am Coll Surg 2022 06 8;234(6):e1-e6. Epub 2022 Mar 8.

From the Vanderbilt University Medical Center, Section of Surgical Sciences, Division of Surgical Oncology and Endocrine Surgery, Nashville, TN (Hanna, Ghani, Bailey, Magge, Idrees).

Full-thickness diaphragm resection (FT-DR) during cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is sometimes required to achieve a complete cytoreduction. It is conventionally performed with electrocautery with primary repair or mesh repair. FT-DR using a linear cutting stapler is a novel technique that avoids entry to the chest cavity and minimizes the use of electrocautery on the diaphragm. Read More

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Spontaneous hemothorax and implication of diagnostic evaluation: A case report.

Respir Med Case Rep 2022 24;36:101604. Epub 2022 Feb 24.

NMC Royal Hospital, Department of Critical Care, Dubai, United Arab Emirates.

The most critical intervention for large hemothorax is draining the blood out of the pleural cavity by placing a thoracostomy tube but it can be disastrous if done without due consideration. We report a rare case of spontaneous hemothorax due to posterior intercostal artery aneurysm and implication of diagnostic evaluation on its management. Read More

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February 2022