1,692 results match your criteria Tube Thoracostomy


Management of computed tomography scan detected hemothorax in blunt chest trauma: What computed tomography scan measurements say?

World J Radiol 2018 Dec;10(12):184-189

Department of Surgery, Section of Trauma and Acute Care Surgery, Geisinger Medical Center, Danville, PA 17822, United States.

Aim: To investigate the hemothorax size for which tube thoracostomy is necessary.

Methods: Over a 5-year period, we included all patients who were admitted with blunt chest trauma to our level 1 trauma center. Focus was placed on identifying the hemothorax size requiring tube thoracostomy. Read More

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http://dx.doi.org/10.4329/wjr.v10.i12.184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323492PMC
December 2018

Observing Pneumothoraces: The 35 Millimeter Rule Is Safe for Both Blunt and Penetrating Chest Trauma.

J Trauma Acute Care Surg 2019 Jan 8. Epub 2019 Jan 8.

Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.

Introduction: As more pneumothoraxes (PTX) are being identified on chest computed tomography (CT), the empiric trigger for tube thoracostomy (TT) versus observation remains unclear. We hypothesized that PTX measuring ≤35 mm on chest CT can be safely observed in both penetrating and blunt trauma mechanisms.

Methods: A retrospective review was conducted of all patients diagnosed with PTX by chest CT between January 2011 and December 2016. Read More

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http://dx.doi.org/10.1097/TA.0000000000002192DOI Listing
January 2019

Comparison of a novel, endoscopic chest tube insertion technique versus the standard, open technique performed by novice users in a human cadaver model: a randomized, crossover, assessor-blinded study.

Scand J Trauma Resusc Emerg Med 2018 Dec 27;26(1):110. Epub 2018 Dec 27.

Program in Trauma, Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD, 21201, USA.

Background: The technique of tube thoracostomy has been standardized for years without significant updates. Alternative procedural methods may be beneficial in certain prehospital and inpatient environments with limited resources. We sought to compare the efficacy of chest tube insertion using a novel, endoscopic device (The Reactor™) to standard, open tube thoracostomy. Read More

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http://dx.doi.org/10.1186/s13049-018-0574-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307118PMC
December 2018

Pericardial flap to repair a pulmonary laceration in a cat with pyothorax.

JFMS Open Rep 2018 Jul-Dec;4(2):2055116918817385. Epub 2018 Dec 3.

Dick White Referrals, Six Mile Bottom, UK.

Case Summary: A 2-year-old female neutered domestic shorthair cat was presented for investigation of acute onset tachypnoea and dyspnoea. Pyothorax was diagnosed based on thoracic radiographs and fluid analysis. Medical treatment consisted of bilateral thoracostomy tube placement, antibiotic therapy and thoracic lavage. Read More

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http://dx.doi.org/10.1177/2055116918817385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293376PMC
December 2018

Adult Bochdalek Hernia with Organo-Axial Gastric Volvulus: Misdiagnosed as Hydropneumothorax.

Acta Medica (Hradec Kralove) 2018 ;61(3):108-110

Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, India.

Bochdalek hernia (BH) in an adult may manifest clinically with a myriad of abdominal or chest symptoms or a combination of them. Diagnosis of an adult BH is usually delayed in view of rarity of the lesion and its varied presentation. A 30-year-old adult gentleman presented to us with a left thoracostomy which was draining pus and ingested food particles. Read More

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http://dx.doi.org/10.14712/18059694.2018.127DOI Listing
January 2018
2 Reads

Unusual Case of Plastic Bronchitis Presenting with Pneumopericardium.

Am J Case Rep 2018 Dec 3;19:1434-1436. Epub 2018 Dec 3.

Department of Internal Medicine, Wayne State University, Rochester Hills, MI, USA.

BACKGROUND Lymphatic circulation in the thorax enters the systemic blood flow at the subclavian vein. Instances where diversion occurs leads to complications such as pleural effusion. A rare complication of lymphatic diversion results in fluid accumulation in the bronchial tree, causing plastic bronchitis. Read More

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http://dx.doi.org/10.12659/AJCR.911311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287447PMC
December 2018
3 Reads

Spontaneous pneumothorax resulting in tension physiology.

Am J Emerg Med 2019 Jan 24;37(1):173.e1-173.e2. Epub 2018 Sep 24.

University of Utah Health, USA.. Electronic address:

Spontaneous pneumothorax (SP) is a relatively common pathology in emergency medicine; however, scant information is published regarding SPs developing tension physiology in the literature. Risk factors for spontaneous pneumothorax include smoking, family history, and underlying lung disease such as chronic obstructive lung disease (COPD), cystic fibrosis, tuberculosis, among others. Treatment often involves conservative management, needle aspiration, catheter placement, or tube thoracostomy. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.09.036DOI Listing
January 2019
2 Reads

A Case of Pseudo-pneumothorax with Complications.

Cureus 2018 Sep 6;10(9):e3263. Epub 2018 Sep 6.

Anesthesia Institute, Cleveland Clinic Foundation - Fairview Hospital, Cleveland, USA.

Pseudo-pneumothorax occurs after inappropriately diagnosing a pneumothorax based on a chest X-ray. This can be attributed to skin folds, bed sheets, previous pneumothorax, heating blankets, clothes, and other circumstances that may mimic the radiographic findings of a pneumothorax. We present a case where a patient underwent a tube thoracostomy due to the diagnosis of a pneumothorax that was not, in fact, present. Read More

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http://dx.doi.org/10.7759/cureus.3263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219861PMC
September 2018
1 Read

Left ventricular perforation with catheter decompression: Case report and review of complications.

Am J Emerg Med 2018 Oct 26. Epub 2018 Oct 26.

University of South Florida, Lehigh Valley Medical Center, Allentown, PA 18103, United States of America.

Thoracostomy tube placement is one of the more common procedures performed in the Emergency Department, most commonly for treatment of pneumothorax or hemothorax but occasionally for drainage of empyema or pleural effusion. Thoracostomy may be a life-saving procedure with a wide range of complication rates reported, ranging from 19.4-37%, most commonly extrathoracic placement. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183088
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http://dx.doi.org/10.1016/j.ajem.2018.10.055DOI Listing
October 2018
6 Reads

Massive idiopathic spontaneous hemothorax complicating anti-N-methyl-d-aspartate receptor encephalitis: A case report.

Medicine (Baltimore) 2018 Nov;97(45):e13188

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, P.R. China.

Rationale: Spontaneous hemothorax is a subcategory of hemothorax which can be life threatening. The etiology of spontaneous hemothorax can be various, and in some rare cases the causes remained unknown. Hence, it is quite difficult to establish the diagnosis. Read More

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http://dx.doi.org/10.1097/MD.0000000000013188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250506PMC
November 2018
12 Reads

Using cable ties to connect thoracostomy tubes to drainage devices decreases frequency of unplanned disconnection.

Eur J Trauma Emerg Surg 2018 Nov 1. Epub 2018 Nov 1.

Division of Trauma, Department of Surgery, SBH Health System, 4422 Third Ave, Bronx, NY, 10457, USA.

Objectives: Thoracostomy tube (TT) connection to drainage device (DD) may be unintentionally disconnected, potentiating complications. Tape may strengthen this connection despite minimal data informing optimal practice. Our goal was to analyze the utility of cable ties for TT to DD connection. Read More

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http://dx.doi.org/10.1007/s00068-018-1044-2DOI Listing
November 2018
1 Read

Ultrasound-guided thoracostomy site identification in healthy volunteers.

Crit Ultrasound J 2018 Oct 15;10(1):28. Epub 2018 Oct 15.

Virginia Commonwealth University Emergency Medicine, 1250 E Marshall Street, 2nd Floor, Suite 500, P.O. Box 980401, Richmond, VA, 23298, USA.

Background: Traditional landmark thoracostomy technique has a known complication rate up to 30%. The goal of this study is to determine whether novice providers could more accurately identify the appropriate intercostal site for thoracostomy by ultrasound guidance.

Methods: 33 emergency medicine residents and medical students volunteered to participate in this study during routine thoracostomy tube education. Read More

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https://criticalultrasoundjournal.springeropen.com/articles/
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http://dx.doi.org/10.1186/s13089-018-0108-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186530PMC
October 2018
6 Reads

Fluoroscopically guided wide-bore thoracostomy tube placement: Description of the technique and comparison to blind placement.

Vet Surg 2018 Nov 10;47(8):1046-1051. Epub 2018 Oct 10.

Dick White Referrals, Six Mile Bottom, Newmarket, United Kingdom.

Objective: To describe and compare fluoroscopic guidance for placement of wide-bore thoracostomy tubes (FGTT) to traditional, blind placement of thoracostomy tubes (BPTT).

Study Design: Prospective clinical trial.

Animals: Twenty client-owned dogs. Read More

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http://doi.wiley.com/10.1111/vsu.13106
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http://dx.doi.org/10.1111/vsu.13106DOI Listing
November 2018
2 Reads

Massive hemothorax due to two bleeding sources with minor injury mechanism: a case report.

J Med Case Rep 2018 Oct 7;12(1):291. Epub 2018 Oct 7.

Department of Emergency Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan.

Background: Massive hemothorax resulting from a minor injury mechanism is considered to be rare particularly when the diaphragm is injured. We report a case of massive hemothorax with bleeding from the intercostal artery and diaphragmatic damage caused by minor blunt trauma.

Case Presentation: An 83-year-old Japanese man was transported to our hospital 3 hours after falling out of bed. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1813-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174063PMC
October 2018
2 Reads

A selective non-operative approach to thoracic stab wounds is safe and cost effective - a South African experience.

Ann R Coll Surg Engl 2018 Oct 5:1-9. Epub 2018 Oct 5.

Department of Surgery, University of KwaZulu Natal , Durban , South Africa.

Introduction: Penetrating thoracic trauma is common and costly. Injuries are frequently and selectively amenable to non-operative management. Our selective approach to penetrating thoracic trauma is reviewed and the effectiveness of our clinical algorithms confirmed. Read More

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https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2018.0118
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http://dx.doi.org/10.1308/rcsann.2018.0118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204512PMC
October 2018
9 Reads

Pleural electrical impedance is a sensitive, real-time indicator of pneumothorax.

J Surg Res 2018 Nov 30;231:15-23. Epub 2018 May 30.

Department of Epidemiology & Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas.

Background: Chest tube management protocols, particularly in patients with alveolar-pleural air leak due to recent surgery or trauma, are limited by concerns over safety, especially concerns about rapid and occult development of pneumothorax. A continuous, real-time monitor of pneumothorax could improve the quality and safety of chest tube management. We developed a rat model of pneumothorax to test a novel approach of measuring electrical impedance within the pleural space as a monitor of lung expansion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00224804183030
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http://dx.doi.org/10.1016/j.jss.2018.05.005DOI Listing
November 2018
2 Reads

Is a "Pan-Scan" Indicated in the Older Patient with a Ground Level Fall?

Am Surg 2018 Sep;84(9):1480-1483

Routine full-body CT "pan-scan" use in older patients after ground level falls (GLFs) is of questionable benefit. Retrospective review of new diagnosis & changes in management in patients >55 years with Glasgow Coma Scale of 15 after a GLF who received a pan-scan (routine head, cervical spine/neck, chest abdomen, and pelvis CT). Head CT results were considered separately; results described in the following paragraph pertains to cervical spine/neck, chest, abdomen, and pelvis CT. Read More

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September 2018
2 Reads

Persistent air leak successfully treated with endobronchial valves and digital drainage system.

Respirol Case Rep 2018 Nov 14;6(8):e00368. Epub 2018 Sep 14.

Department of Thoracic Medicine Royal Adelaide Hospital Adelaide South Australia Australia.

A 62-year old man with severe chronic obstructive pulmonary disease developed a persistent air leak from an iatrogenic pneumothorax following Computed Tomography-guided core biopsy of a pulmonary nodule. The pneumothorax was treated with an 8.5F intercostal catheter, which was then replaced by a 28F thoracostomy tube after development of significant subcutaneous emphysema and a tension pneumothorax. Read More

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http://doi.wiley.com/10.1002/rcr2.368
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http://dx.doi.org/10.1002/rcr2.368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138541PMC
November 2018
9 Reads

Through-and-through gunshot wound to the esophagus at the thoracic inlet:a novel management approach.

Trauma Surg Acute Care Open 2018 4;3(1):e000195. Epub 2018 Sep 4.

St. Joseph's Hospital and Medical Center, Norton Thoracic Institute, Phoenix, Arizona, USA.

A 42-year-old man presented to the emergency department with gunshot wound to left upper back over the scapula and palpable bullet over the right supraclavicular fossa. The patient had a left-sided needle thoracostomy in the field. He was tachypneic and tachycardiac but normortensive on arrival. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135418PMC
September 2018
2 Reads

Outcomes of an initiative to improve inpatient safety of small bore thoracostomy tube insertion.

Intern Med J 2018 Sep 19. Epub 2018 Sep 19.

Department of Respiratory and Sleep Medicine, Liverpool Hospital, NSW, 2170, Australia.

Background: Intercostal chest catheter (ICC) insertion is a common hospital procedure with attendant risks including life-threatening complications such as pneumothorax and visceral damage.

Objective: To investigate the effect of a quality improvement initiative on complications associated with inpatient thoracostomy tube insertion.

Methods: Following an audit of ICC complications in inpatients over a 2 year period we implemented a comprehensive quality improvement (QI) program. Read More

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http://dx.doi.org/10.1111/imj.14110DOI Listing
September 2018
1 Read

Resource use and clinical outcomes in blunt thoracic injury: a 10-year trauma registry comparison between southern Finland and Germany.

Eur J Trauma Emerg Surg 2018 Sep 17. Epub 2018 Sep 17.

Trauma Unit, Helsinki University Hospital, Topeliuksenkatu 5, PB 266, Helsinki, 00029 HUS, Finland.

Purpose: Serious thoracic injuries are associated with high mortality, morbidity, and costs. We compared patient populations, treatment, and survival of serious thoracic injuries in southern Finland and Germany.

Methods: Mortality, patient characteristics and treatment modalities were compared over time (2006-2015) in all patients with Abbreviated Injury Scale (AIS) thorax ≥ 3, Injury Severity Score (ISS) > 15, age > 15 years, blunt trauma mechanism, and treatment in Intensive Care Unit (ICU) in Level 1 hospitals included in the Helsinki Trauma Registry (HTR) and the TraumaRegister DGU (TR-DGU). Read More

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http://link.springer.com/10.1007/s00068-018-1004-x
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http://dx.doi.org/10.1007/s00068-018-1004-xDOI Listing
September 2018
8 Reads

Transoceanic Telementoring of Tube Thoracostomy Insertion: A Randomized Controlled Trial of Telementored Versus Unmentored Insertion of Tube Thoracostomy by Military Medical Technicians.

Telemed J E Health 2018 Sep 14. Epub 2018 Sep 14.

3 Israeli Defence Force Medical Corp , Haifa, Israel .

Background: Tension pneumothorax is a frequent cause of potentially preventable death. Tube thoracostomy (TT) can obviate death but is invasive and fraught with complications even in experienced hands. We assessed the utility of a remote international virtual network (RIVN) of specialized mentors to remotely guide military medical technicians (medics) using wireless informatics. Read More

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http://dx.doi.org/10.1089/tmj.2018.0138DOI Listing
September 2018
5 Reads

Factors predicting the need for tube thoracostomy in patients with iatrogenic pneumothorax associated with computed tomography-guided transthoracic needle biopsy.

Turk J Emerg Med 2018 Sep 24;18(3):105-110. Epub 2018 May 24.

Kocaeli University, Faculty of Medicine, Department of Thoracic Surgery, Kocaeli, Turkey.

Objectives: Traumatic iatrogenic pneumothorax occurs most often after a transthoracic needle biopsy. Since this procedure has become a common outpatient intervention, emergency department admissions of post-biopsy pneumothorax patients have increased. The aim of this study was to determine the factors that predict the need for tube thoracostomy in patients with post-biopsy pneumothorax in the emergency department. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107931PMC
September 2018
2 Reads

Tube Thoracostomy Management in the Combat Wounded.

Am Surg 2018 Aug;84(8):1355-1362

The intent of this study was to characterize the management and subsequent complications of combat injury tube thoracostomies and to determine risk factors for the development of pneumonia (PNA) and retained hemothorax (RH). One hundred fifteen patients with 173 tube thoracostomies met the inclusion criteria and were analyzed. The mean injury severity score was 30. Read More

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August 2018
10 Reads

Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural.

Case Rep Radiol 2018 6;2018:8129341. Epub 2018 Aug 6.

Organ Transplant Centre, King Faisal Specialist Hospital & Research Centre (KFSH&RC), Riyadh, Saudi Arabia.

Chest tube malpositioning is reported to be the most common complication associated with tube thoracostomy. Intraparenchymal and intrafissural malpositions are the most commonly reported tube sites. We present a case about a 21-year-old patient with cystic fibrosis who was admitted due to bronchiectasis exacerbation and developed a right-sided pneumothorax for which a chest tube was inserted. Read More

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https://www.hindawi.com/journals/crira/2018/8129341/
Publisher Site
http://dx.doi.org/10.1155/2018/8129341DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106908PMC
August 2018
10 Reads

Trends in Hospital Treatment of Empyema in Children in the United States.

J Pediatr 2018 Nov 28;202:245-251.e1. Epub 2018 Aug 28.

Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Objective: To evaluate trends in procedures used to treat children hospitalized in the US with empyema during a period that included the release of guidelines endorsing chest tube placement as an acceptable first-line alternative to video-assisted thoracoscopic surgery.

Study Design: We used National Inpatient Samples to describe empyema-related discharges of children ages 0-17 years during 2008-2014. We evaluated trends using inverse variance weighted linear regression and characterized treatment failure using multivariable logistic regression to identify factors associated with having more than 1 procedure. Read More

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http://dx.doi.org/10.1016/j.jpeds.2018.07.004DOI Listing
November 2018
6 Reads

Video-tube thoracostomy in trauma resuscitation: A pilot study.

Injury 2019 Jan 11;50(1):90-95. Epub 2018 Aug 11.

National Trauma Research Institute, The Alfred Hospital, Melbourne, Australia; Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia; Monash University, Faculty of Medicine, Nursing and Health Sciences, Melbourne, Australia.

Background: Complications related to incorrect positioning of tube thoracostomy (TT) have been reported to be as high as 30%. The aim of this study was to assess the feasibility of flexible videoscope guided placement of a pre-loaded chest tube, permitting direct intrapleural visualization and placement (Video-Tube Thoracostomy [V-TT]).

Methods: A prospective, single centre, phase 1 pilot study with a parallel control group was undertaken. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183046
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http://dx.doi.org/10.1016/j.injury.2018.08.007DOI Listing
January 2019
8 Reads

Risk Stratification in Patients with Complicated Parapneumonic Effusions and Empyema Using the RAPID Score.

Lung 2018 Oct 11;196(5):623-629. Epub 2018 Aug 11.

Baptist Hospital of Miami, Miami, FL, USA.

Purpose: Complicated parapneumonic effusions and empyema are a leading cause of morbidity in the United States with over 1 million admissions annually and a mortality rate that remains high in spite of recent advances in diagnosis and treatment. The identification of high risk patients is crucial for improved management and the provision of cost-effective care. The RAPID score is a scoring system comprised of the following variables: renal function, age, purulence, infection source, and dietary factors and has been shown to predict outcomes in patients with pleural space infections. Read More

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http://dx.doi.org/10.1007/s00408-018-0146-2DOI Listing
October 2018
11 Reads

Video-Thoracoscopic Management of Postpneumonectomy Empyema.

Thorac Cardiovasc Surg 2018 11 7;66(8):701-706. Epub 2018 Aug 7.

Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy.

Background: Postpneumonectomy empyema (PPE) is a serious complication even when it is not associated with bronchopleural fistula (BPF). Besides irrigation, an aggressive treatment is usually applied for removing infected material. However, a minimally invasive approach might achieve satisfactory results in selected patients. Read More

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http://dx.doi.org/10.1055/s-0038-1667008DOI Listing
November 2018
15 Reads

A Novel Expeditionary Perfused Cadaver Model for Trauma Training in the Out-of-Hospital Setting.

J Emerg Med 2018 09 29;55(3):383-389. Epub 2018 Jul 29.

U.S. Naval Hospital Guam, Tutuhan, Guam.

Background: Cadaver training for prehospital surgical procedures is a valid training model. The limitation to date has been that perfused cadavers have only been used in wet laboratories in hospitals or university centers. We endeavor to describe a transportable central-perfused cadaver model suitable for training in the battlefield environment. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.05.032DOI Listing
September 2018
9 Reads

Retrospective comparison of short-term outcomes following thoracoscopy versus thoracotomy for surgical correction of persistent right aortic arch in dogs.

J Am Vet Med Assoc 2018 Aug;253(4):444-451

OBJECTIVE To evaluate thoracoscopy as a treatment for dogs with persistent right aortic arch (PRAA) and to compare intra- and postoperative complications and short-term outcomes of dogs that underwent thoracoscopy versus thoracotomy for treatment of PRAA. DESIGN Retrospective cohort study. ANIMALS 30 dogs (24 client-owned and 6 shelter-owned) that had undergone thoracoscopy or thoracotomy for treatment of PPRA between 1998 and 2015. Read More

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http://dx.doi.org/10.2460/javma.253.4.444DOI Listing
August 2018
1 Read

Chylothorax after off-pump coronary artery bypass graft surgery: Management strategy.

Ann Card Anaesth 2018 Jul-Sep;21(3):300-303

Department of Cardiothoracic Surgery, Nawaloka Hospitals (Pvt) Ltd., Colombo, Sri Lanka.

Chylothorax is a rare complication after cardiac surgery but is associated with morbidity and mortality. The most common cause of chylothorax is damage to or avulsion of thoracic duct by electrocautery during left internal thoracic artery harvesting for coronary artery bypass graft (CABG) surgery. We describe a case of chylothorax after off-pump CABG, which was successfully treated with thoracostomy tube drainage, withholding of oral intake, total parenteral nutrition and subcutaneous octreotide, a somatostatin analog, and chemical pleurodesis. Read More

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http://dx.doi.org/10.4103/aca.ACA_212_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078034PMC
July 2018
3 Reads

Steering the wheel towards the standard of care: Proposal of a step-by-step ultrasound-guided emergency chest tube drainage and literature review.

Int J Surg 2018 Aug 6;56:315-319. Epub 2018 Jul 6.

General and Trauma Surgery, Hospital das Clínicas, University of São Paulo, Brazil. Electronic address:

Background: Chest tube drainage is a common procedure performed by physicians in the emergency setting. Complications may arise in up to 25% of the cases. These vary from drain misplacement to lethal iatrogenic injuries. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.07.002DOI Listing
August 2018
12 Reads

Effectiveness of Bedside Lung Ultrasound for Clinical Follow-Up of Primary Spontaneous Pneumothorax Patients Treated With Tube Thoracostomy.

Ultrasound Q 2018 Dec;34(4):226-232

Department of Emergency Medicine, Faculty of Medicine, Kütahya Dumlupinar University, Kütahya, Turkey.

Primary spontaneous pneumothorax (PSP) is a common cause of presentation to emergency departments and subsequent hospitalization. Patients with large PSP are treated with tube thoracostomy (TT) and followed up with x-rays. In this study, we investigated the efficiency of bedside ultrasound and compared it with x-ray imaging for the clinical follow-up of PSP patients treated with TT. Read More

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http://dx.doi.org/10.1097/RUQ.0000000000000363DOI Listing
December 2018
19 Reads

Deep neck infection and descending mediastinitis as lethal complications of dentoalveolar infection: two rare case reports.

J Med Case Rep 2018 Jul 7;12(1):195. Epub 2018 Jul 7.

Department of Surgery, Banso Baptist Hospital, P.O Box 9, Nso-Kumbo, Northwestern Region, Cameroon.

Background: We report two cases of innocuous dentoalveolar infections which rapidly progressed to deep neck abscesses complicated by descending mediastinitis in a resource-constrained rural mission hospital in the Cameroon.

Case Presentation: The clinical presentations of a 35-year-old man and a 32-year-old woman both of Fulani origin in the Northern region of Cameroon were similar with submandibular fluctuant and tender swelling and differential warmth to palpation. The patients had tachycardia, high grade pyrexia, and normal blood pressure. Read More

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http://dx.doi.org/10.1186/s13256-018-1724-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035394PMC
July 2018
5 Reads

Granulomatous response to invasive pulmonary aspergillosis in an immunotherapy-naive host, a maladaptive response?

Respir Med Case Rep 2018 16;24:158-162. Epub 2018 May 16.

Internal Medicine Department, Einstein Medical Center, 5501 Old York Road, Klein Building, Suite 363, Philadelphia PA 19141, USA.

Pulmonary aspergillosis causes a wide spectrum of disease, ranging from asymptomatic airway colonization to severe invasive disease, contingent on the host's immune status and underlying pulmonary anatomy. The invasive form of aspergillosis is a rare occurrence in the immunocompetent population. Nevertheless, patients with a compromised innate immune response are at greatest risk. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.05.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010647PMC
May 2018
13 Reads

Unusual case of primary spontaneous hemopneumothorax in a young man with atypical tension pneumothorax: a case report.

J Med Case Rep 2018 Jul 2;12(1):188. Epub 2018 Jul 2.

Department of Thoracic Cardiovascular Surgery, Chang Gung Memorial Hospital, 123 Avenue Xiafei, Xiamen, 361028, Fujian, China.

Background: Spontaneous life-threatening hemopneumothorax is an atypical but treatable entity of unexpected circulatory collapse in young patients, affecting 0.5-11.6% of patients with primary spontaneous pneumothorax. Read More

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http://dx.doi.org/10.1186/s13256-018-1732-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6027734PMC
July 2018
11 Reads

Emergency Medical Services Simple Thoracostomy for Traumatic Cardiac Arrest: Postimplementation Experience in a Ground-based Suburban/Rural Emergency Medical Services Agency.

J Emerg Med 2018 09 28;55(3):366-371. Epub 2018 Jun 28.

Montgomery County Hospital District Emergency Medical Services, Houston, Texas.

Background: Tube thoracostomy has long been the standard of care for treatment of tension pneumothorax in the hospital setting yet is uncommon in prehospital care apart from helicopter emergency medical services.

Objective: We aimed to evaluate the performance of simple thoracostomy (ST) for patients with traumatic cardiac arrest and suspected tension pneumothorax.

Methods: We conducted a retrospective case series of consecutive patients with traumatic cardiac arrest where simple thoracostomy was used during the resuscitation effort. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183059
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http://dx.doi.org/10.1016/j.jemermed.2018.05.027DOI Listing
September 2018
12 Reads

Surgical Closure of Patent Ductus Arteriosus in Premature Neonates Weighing Less Than 1,000 grams: Contemporary Outcomes.

World J Pediatr Congenit Heart Surg 2018 07;9(4):419-423

1 Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA.

Objective: The safety of surgical closure of patent ductus arteriosus (PDA) in very low birth weight premature neonates has been questioned because of associated morbidities. However, these studies are vulnerable to significant bias as surgical ligation has historically been utilized as "rescue" therapy. The objective of this study was to review our institutions' outcomes of surgical PDA ligation. Read More

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http://dx.doi.org/10.1177/2150135118766454DOI Listing
July 2018
13 Reads

Use of the iTClamp versus standard suturing techniques for securing chest tubes: A randomized controlled cadaver study.

Turk J Emerg Med 2018 Mar 9;18(1):15-19. Epub 2018 Mar 9.

Regional Trauma Services, University of Calgary, Calgary, AB, Canada.

Objectives: Tube thoracostomy (TT) is a common yet potentially life-saving trauma procedure. After successful placement however, securing a TT through suturing is a skillset that requires practice, risking that the TT may become dislodged during prehospital transport. The purpose of this study was to examine if the iTClamp was a simpler technique with equivalent effectiveness for securing TTs. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.01.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009806PMC
March 2018
34 Reads

Active bleeding from intercostal artery pseudoaneurysm after a percutaneous tube thoracostomy drainage procedure: diagnosis with CT angiography and treatment with transarterial coil embolisation.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Department of Medical Imaging, Kaohsiung Medical University Chung Ho Memorial Hospital, Kaohsiung, Taiwan.

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http://dx.doi.org/10.1136/bcr-2018-225795DOI Listing
June 2018
2 Reads

Review of Early Postoperative Metrics for Children Undergoing Resection of Congenital Pulmonary Airway Malformations and Report of Pleuropulmonary Blastoma at a Single Institution.

Eur J Pediatr Surg 2018 Jun 19. Epub 2018 Jun 19.

Department of Pediatric Surgery, Indiana University School of Medicine, Indianapolis, Indiana, United States.

Purpose:  The purpose of this study is to describe a single institution's 11-year experience treating children with congenital pulmonary airway malformations (CPAMs) and pleuropulmonary blastoma (PPB).

Methods:  An institutional database was sampled for all patients aged 0 to 18 years from January 1, 2005, to December 31, 2015. Patients with a pathologic diagnosis of CPAM or PPB during this period were reviewed. Read More

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http://dx.doi.org/10.1055/s-0038-1661333DOI Listing
June 2018
2 Reads

Misadventures of a Pigtail: Case Report of Accidental Insertion of a Chest Tube Into the Left Atrium During Interventional Radiology-Guided Placement.

A A Pract 2018 Nov;11(10):273-275

From the Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.

Chest tube thoracostomy is a commonly performed procedure in the emergency department, operating room, and intensive care unit. We report an extremely rare case of accidental insertion of a chest tube into the left atrium via the right pulmonary vein during an interventional radiology-guided placement of the catheter. To our knowledge, such a case has not been reported to date. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000807DOI Listing
November 2018
2 Reads

Benchmarking emergency department thoracotomy: Using trauma video review to generate procedural norms.

Injury 2018 Sep 23;49(9):1687-1692. Epub 2018 May 23.

Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.

Introduction: Emergency department thoracotomy (EDT) must be rapid and well-executed. Currently there are no defined benchmarks for EDT procedural milestones. We hypothesized that trauma video review (TVR) can be used to define the 'normative EDT' and generate procedural benchmarks. Read More

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http://dx.doi.org/10.1016/j.injury.2018.05.010DOI Listing
September 2018
2 Reads

Trauma patients are safe to fly 72 hours after tube thoracostomy removal.

J Trauma Acute Care Surg 2018 Sep;85(3):491-494

From the Division of Trauma, Critical Care, and Acute Care Surgery, Oregon Health and Science University, Portland, Oregon (D.Z.); US Air Force School of Aerospace Medicine (D.Z.); C-STARS University of Cincinnati, Cincinnati, Ohio (J.E.); Walter Reed Medical Center, Bethesda, Maryland (C.B., J.O.); Department of Trauma and Critical Care, Landstuhl Regional Medical Center, Landstuhl, Kaiserslautern (D.Z., J.E.); Department of Radiology, Landstuhl Regional Medical Center, Landstuhl, Kaiserslautern (V.P.); Uniformed Services Univerisity of the Health Sciences, Bethesda, Maryland (J.C.); and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (J.C.).

Background: Current recommendations for safe air travel following traumatic pneumothorax are 2 to 3 weeks after radiographic resolution. These recommendations are based on several small observational studies and expert consensus, which cite a theoretical risk of recurrence and hypoxia because of decreased oxygen tension at altitude. We sought to systematically study the timing of chest drain removal after traumatic pneumothorax and risk of recurrence in relation to air travel. Read More

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http://dx.doi.org/10.1097/TA.0000000000001976DOI Listing
September 2018
3 Reads

Analysis of 89 patients who underwent tube thoracostomy performed by general surgeons.

Turk J Surg 2018 3;34(1):49-52. Epub 2017 Sep 3.

Department of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.

Objective: Death due to thoracic trauma accounts for 20% of all trauma deaths. The aim of this study was to discuss the approach applied by general surgeons to thoracic trauma in our center.

Material And Methods: A total of 89 patients (82 male, 7 female; mean age: 26. Read More

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http://dx.doi.org/10.5152/UCD.2017.3692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937659PMC
September 2017
3 Reads

Bradycardia after Tube Thoracostomy for Spontaneous Pneumothorax.

Case Rep Emerg Med 2018 19;2018:6351521. Epub 2018 Mar 19.

Emergency Trauma Center, Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ 07601, USA.

We present the case of an elderly patient who became bradycardic after chest tube insertion for spontaneous pneumothorax. Arrhythmia is a rare complication of tube thoracostomy. Unlike other reported cases of chest tube induced arrhythmias, the bradycardia in our patient responded to resuscitative measures without removal or repositioning of the tube. Read More

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http://dx.doi.org/10.1155/2018/6351521DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884237PMC
March 2018
1 Read

Dysfunctional Closed Chest Drainage - Common Causative Factors and Recommendations for Prevention.

Cureus 2018 Mar 9;10(3):e2295. Epub 2018 Mar 9.

Thoracic Surgery, Nishtar Medical University/hospital Multan, Pakistan.

Introduction Dysfunctional closed chest drainage unit (CDU) dysfunction is a common but serious clinical problem associated with tube thoracostomy and results in a significant rise in morbidity, prolonged hospital stays, and increased economic burden. This observational study examines the proximate factors of closed CDU dysfunction in addition to their relative frequency. Based on our findings, we suggest logical recommendations for preventing the factors that contribute to closed chest drainage unit dysfunction. Read More

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http://dx.doi.org/10.7759/cureus.2295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943031PMC
March 2018
6 Reads

Tension hydrothorax: Emergency decompression of a pleural cause of cardiac tamponade.

Am J Emerg Med 2018 Aug 21;36(8):1524.e1-1524.e4. Epub 2018 Apr 21.

Department of Medicine; Maastricht University Medical Center, Netherlands.

Introduction: A tension hydrothorax is defined as a massive pleural effusion presenting with hemodynamic abnormalities secondary to mediastinal compression. In these patients pleural volume increases intrathoracic pressure to the point of compromising diastolic filling and cardiac output simulating a cardiac tamponade physiology. This is an uncommon yet potentially fatal medical emergency that if left untreated may progress to cardiac arrest. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.04.041DOI Listing
August 2018
2 Reads

Closure of a bronchopleural fistula complicating cryoprobe biopsy of the lung.

Respirol Case Rep 2018 07 6;6(5):e00319. Epub 2018 Apr 6.

Department of Pulmonary and Critical Care Drexel University College of Medicine Philadelphia PA USA.

Cryoprobe biopsies are routinely performed by the interventional pulmonologist. Diagnostic yields are larger, with complication rates that are equal to or lower than that of traditional forceps biopsies. We will specifically evaluate one instance where a cryoprobe biopsy led to an alveolo-pleural fistula that did not resolve with simple tube thoracostomy. Read More

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http://dx.doi.org/10.1002/rcr2.319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891350PMC
July 2018
2 Reads