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Needle thoracostomy

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https://www.readbyqxmd.com/read/28975363/decompression-of-tension-pneumothoraces-in-asian-trauma-patients-greater-success-with-lateral-approach-and-longer-catheter-lengths-based-on-computed-tomography-chest-wall-measurements
#1
S Goh, W R Xu, L T Teo
INTRODUCTION: Our study aims to compare the anterior and lateral approaches for needle thoracostomy (NT) and determine the adequacy of catheter lengths used for NT in Asian trauma patients based on computed tomography chest wall measurements. METHODOLOGY: A retrospective review of chest computed tomography scans of 583 Singaporean trauma patients during period of 2011-2015 was conducted. Four measurements of chest wall thickness (CWT) were taken at the second intercostal space, midclavicular line and fifth intercostal space, midaxillary line bilaterally...
October 3, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28671165/diagnostic-evaluation-of-mediastinal-lesions-analysis-of-144-cases
#2
Ramakant Dixit, Narender Singh Shah, Mukesh Goyal, Chetan B Patil, Mukesh Panjabi, Rakesh C Gupta, Neeraj Gupta, Sabarigiri Vasan Harish
BACKGROUND: Mediastinum is a "Pandora's box" with many neoplastic and nonneoplastic lesions. The purpose of this study was to analyze our institutional experience of mediastinal lesions on fine-needle aspiration cytology (FNAC) and/or biopsy. MATERIALS AND METHODS: This study was an analysis of 144 patients who had undergone ultrasound-guided FNAC and/or core biopsy for mediastinal lesions. RESULTS: A total of 144 cases of suspected mediastinal masses were seen, and in 139 cases, tissue diagnosis was attempted...
July 2017: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/28499514/needle-decompression-of-tension-pneumothorax-with-colorimetric-capnography
#3
Nimesh D Naik, Matthew C Hernandez, Jeff R Anderson, Erika K Ross, Martin D Zielinski, Johnathon M Aho
BACKGROUND: The success of needle decompression for tension pneumothorax is variable, and there are no objective measures assessing effective decompression. Colorimetric capnography, which detects carbon dioxide present within the pleural space, may serve as a simple test to assess effective needle decompression. METHODS: Three swine underwent traumatically induced tension pneumothorax (standard of care, n = 15; standard of care with needle capnography, n = 15)...
May 10, 2017: Chest
https://www.readbyqxmd.com/read/28431130/safety-concerns-with-thoracoabdominal-acupuncture-experience-at-a-tertiary-care-emergency-department
#4
Hak Jin Lee, Youn-Jung Kim, Won Young Kim
Objective.:  To evaluate serious complications caused by acupuncture treatment and to increase awareness of this complication. Design.:  A retrospective observational study. Setting. : At the emergency department of a tertiary hospital in an urban area during a five-year period (2010-2014) in Seoul, Korea. Subjects.:  Patients with postacupuncture mechanical complications in the thoracoabdominal region. Methods...
April 19, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28353306/anatomical-variations-of-the-sternal-angle-and-anomalies-of-adult-human-sterna-from-the-galloway-osteological-collection-at-makerere-university-anatomy-department
#5
Gonzaga Gonza Kirum, Ian Munabi, John Kukiriza, Gerald Tumusiime, Mesach Kange, Charles Ibingira, William Buwembo
BACKGROUND: Anatomical variations of the sternal angle and anomalies of the sternum are unique happenings of major clinical significance.It is known that misplaced sternal angles may lead to inaccurate counting of ribs and create challenges with intercostal nerve blocks and needle thoracostomies. Sternal foramina may pose a great hazard during sternal puncture, due to inadvertent cardiac or great vessel injury. These sternal variations and anomalies are rarely reported among Africans...
March 29, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/28291451/prehospital-blood-transfusion-during-aeromedical-evacuation-of-trauma-patients-in-israel-the-idf-csar-experience
#6
Jacob Chen, Avi Benov, Roy Nadler, Daniel N Darlington, Andrew P Cap, Ari M Lipsky, Elon Glassberg
BACKGROUND: Data regarding the effect of prehospital blood administration to trauma patients during short-to-moderate time evacuations is scarce. The Israel Air Force Airborne Combat Search and Rescue is the only organization that deals with aeromedical evacuation for both military and civilian casualties in Israel and the only one with the ability to give blood in the prehospital setting. METHODS: Data on packed red blood cells (PRBCs) administration in the evacuation missions from January 2003 to June 2010 were analyzed and actual transfusion practice was compared to clinical practice guidelines (CPGs)...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/27939518/failure-rate-of-prehospital-chest-decompression-after-severe-thoracic-trauma
#7
COMPARATIVE STUDY
Alexander Kaserer, Philipp Stein, Hans-Peter Simmen, Donat R Spahn, Valentin Neuhaus
INTRODUCTION: Chest decompression can be performed by different techniques, like needle thoracocentesis (NT), lateral thoracostomy (LT), or tube thoracostomy (TT). The aim of this study was to report the incidence of prehospital chest decompression and to analyse the effectiveness of these techniques. MATERIAL AND METHODS: In this retrospective case series study, all medical records of adult trauma patients undergoing prehospital chest decompression and admitted to the resuscitation area of a level-1 trauma center between 2009 and 2015 were reviewed and analysed...
March 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27869490/congenital-diaphragmatic-hernia-causing-cardiac-arrest-in-a-30-year-old-woman
#8
H J Manson, Y M Goh, P Goldsmith, P Scott, P Turner
Congenital diaphragmatic hernia (CDH) usually presents in infancy with respiratory failure requiring urgent surgical correction. Mortality in this group of patients remains poor and persistent pulmonary hypertension is a significant contributor. It is therefore rare for patients to reach adulthood undiagnosed. CDH is often identified incidentally in adults but when symptoms arise, they relate to the organ involved, and include gastrointestinal symptoms of dyspepsia and obstruction, as well as respiratory complaints such as dyspnoea...
February 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27629501/-chest-decompression-in-emergency-medicine-and-intensive-care
#9
REVIEW
H Drinhaus, T Annecke, J Hinkelbein
Decompression of the chest is a life-saving invasive procedure for tension pneumothorax, trauma-associated cardiopulmonary resuscitation or massive haematopneumothorax that every emergency physician or intensivist must master. Particularly in the preclinical setting, indication must be restricted to urgent cases, but in these cases chest decompression must be executed without delay, even in subpar circumstances. The methods available are needle decompression or thoracentesis via mini-thoracotomy with or without insertion of a chest tube in the midclavicular line of the 2nd/3rd intercostal space (Monaldi-position) or in the anterior to mid-axillary line of the 4th/5th intercostal space (Bülau-position)...
October 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27609120/determination-of-the-chest-wall-thicknesses-and-needle-thoracostomy-success-rates-at-second-and-fifth-intercostal-spaces-a-cadaver-based-study
#10
Can Ozen, Haldun Akoglu, Rifat Ozgur Ozdemirel, Elif Omeroglu, Cigdem Ulubay Ozpolat, Ozge Onur, Yalcin Buyuk, Arzu Denizbasi
INTRODUCTION: The purposes of this study were to measure the chest wall thicknesses (CWTs) at second intercostal space (ICS) mid-clavicular line (MCL) and fifth ICS MAL directly, and compare the actual success rates of needle thoracostomies (NTs) by inserting a 5-cm-long syringe needle. Predictive values of weight, body mass index (BMI) and CWT were also analyzed. MATERIALS AND METHODS: This study included 199 measurements of 50 adult fresh cadavers from both hemithoraces...
December 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27494369/high-negative-pressure-subcutaneous-suction-drain-for-managing-debilitating-subcutaneous-emphysema-secondary-to-tube-thoracostomy-for-an-iatrogenic-post-computed-tomography-guided-transthoracic-needle-biopsy-pneumothorax-case-report-and-review-of-literature
#11
Zeeshan Ahmed, Pinakin Patel, Suresh Singh, Raj Govind Sharma, Pankaj Somani, Abdul Rauf Gouri, Shiv Singh
INTRODUCTION: Subcutaneous emphysema is a common complication of tube thoracostomy. Though self-limiting, it should be treated when it causes palpebral closure, dyspnea, dysphagia or undue disfigurement resulting in anxiety and distress to the patient. PRESENTATION OF CASE: A 72year old man who was a known case of COPD on bronchodilators developed a large pneumothorax and respiratory distress after a CT guided transthoracic lung biopsy done for a lung opacity (approx...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27277376/a-case-of-massive-pleural-effusion-pleurodesis-by-bleomycin
#12
R Hasan, O S Khan, M Aftabuddin, A M Razzaque, G A Chowdhury
Malignant pleural effusion is a common complication of primary and metastatic pleural malignancies. Pleurodesis for the management of malignant pleural effusion is intended to achieve symphysis between parietal and visceral pleura, and to prevent relapse of pleural effusion. Many chemical agents are tried to induce inflammation and damage of the pleural mesothelial layer to achieve this symphysis. Hemorrhagic pleural effusion, especially in the right hemithorax commonly occurs as presentation of primary and metastatic pleural malignancies...
April 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/27177417/emergency-department-evaluation-and-management-of-blunt-chest-and-lung-trauma-trauma-cme
#13
REVIEW
Eric J Morley, Scott Johnson, Evan Leibner, Jawad Shahid
The majority of blunt chest injuries are minor contusions or abrasions; however, life-threatening injuries, including tension pneumothorax, hemothorax, and aortic rupture can occur and must be recognized early. This review focuses on the diagnosis, management, and disposition of patients with blunt injuries to the ribs and lung. Utilization of decision rules for chest x-ray and computed tomography are discussed, along with the emerging role of bedside lung ultrasonography. Management controversies presented include the limitations of needle thoracostomy us¬ing standard needle, chest tube placement, and chest tube size...
June 2016: Emergency Medicine Practice
https://www.readbyqxmd.com/read/27144046/mediastinal-mature-teratoma-revealed-by-empyema
#14
Mohammed Raoufi, Laila Herrak, Anas Benali, Leila Achaachi, Mustapha El Ftouh, Salma Bellarbi, Charaf Tilfine, Firdaous Taouarsa
Teratomas are germ cell tumors, manifested with a great variety of clinical features; the most common extragonadal site is the anterior mediastinum. In this case, we report the patient with a large mature mediastinal teratoma with several components of ectodermal and endothermal epithelium. A 24-year-old female patient presented with history of persistent chest pain and progressively aggravating dyspnea for the previous 3 months. A chest X-ray showed a large opacity of the entire left hemithorax. Transcutaneous needle aspiration revealed a purulent fluid...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27037132/presenting-hydrothorax-predicts-failure-of-needle-aspiration-in-primary-spontaneous-pneumothorax
#15
Kwok Kei Wu, Chun Tat Lui, Chik Leung Ho, Kwok Leung Tsui, Hin Tat Fung
OBJECTIVE: The objective was to evaluate if existence of hydrothorax in initial chest radiograph predicts treatment outcome in patients with primary spontaneous pneumothorax who received needle thoracostomy. METHODS: This is a retrospective cohort study carried out from January 2011 to August 2014 in 1 public hospital in Hong Kong. All consecutive adult patients aged 18years or above who attended the emergency department with the diagnosis of primary spontaneous pneumothorax with needle aspiration performed as primary treatment were included...
June 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26807605/needle-thoracostomy-in-the-prehospital-setting-a-retrospective-observational-study
#16
Lori Weichenthal, Desiree Crane, Luke Rond
BACKGROUND: The use of needle thoracostomy (NT) is a common prehospital intervention for patients in extremis or cardiac arrest due to trauma; however, controversy surrounds its use. The purpose of this study is to compare outcomes, effectiveness, and complications of NT in an Emergency Medical Services (EMS) system that includes urban, rural, and wilderness environments. METHODS: This is a retrospective observational study of all patients who had NT performed in a four county EMS system with a catchment area of greater than 1...
May 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26680137/prehospital-interventions-in-severely-injured-pediatric-patients-rethinking-the-abcs
#17
Kyle K Sokol, George E Black, Kenneth S Azarow, William Long, Matthew J Martin, Matthew J Eckert
BACKGROUND: The current conflict in Afghanistan has resulted in a high volume of significantly injured pediatric patients. The austere environment has demanded emphasis on prehospital interventions (PHIs) to sustain casualties during transport. METHODS: The Department of Defense Trauma Registry was queried for all pediatric patients (≤18 years) treated at Camp Bastion from 2004 to 2012. PHIs were grouped by Advanced Trauma Life Support categories into (1) airway (A)--intubation or surgical airway; 2) breathing (B)--chest tube or needle thoracostomy; and 3) circulation (C)--tourniquet or hemostatic dressing...
December 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/26557486/complications-of-needle-thoracostomy-a-comprehensive-clinical-review
#18
Brian Wernick, Heidi H Hon, Ronnie N Mubang, Anthony Cipriano, Ronson Hughes, Demicha D Rankin, David C Evans, William R Burfeind, Brian A Hoey, James Cipolla, Sagar C Galwankar, Thomas J Papadimos, Stanislaw P Stawicki, Michael S Firstenberg
Needle thoracostomy (NT) is a valuable adjunct in the management of tension pneumothorax (tPTX), a life-threatening condition encountered mainly in trauma and critical care environments. Most commonly, needle thoracostomies are used in the prehospital setting and during acute trauma resuscitation to temporize the affected individuals prior to the placement of definitive tube thoracostomy (TT). Because it is both an invasive and emergent maneuver, NT can be associated with a number of potential complications, some of which may be life-threatening...
July 2015: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/26473629/acute-tracheal-compression-in-a-large-breed-dog-due-to-a-dorsal-tracheal-membrane-abscess
#19
Alex M Lynch, Therese E O'Toole, John E Rush, Danielle Rondeau, Kelly O'Neill, Raymond K Kudej
OBJECTIVE: To describe a case of acute tracheal compression due to a dorsal tracheal membrane abscess in a dog. CASE SUMMARY: A 3-year-old intact male Bluetick Coonhound presented for evaluation of 36 hours of marked inspiratory dyspnea and stridor. A radiographic diagnosis of tracheal collapse was made on thoracic radiographs, which was confirmed to be static compression by tracheoscopy. Dorsal extraluminal tracheal compression from a fluid filled structure adjacent to the trachea was suspected based on ultrasonography...
November 2015: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/26360357/resuscitation-during-critical-care-transportation-in-afghanistan
#20
Joshua M Tobin, Giles R Nordmann, Eric J Kuncir
OBJECTIVE: These data describe the critical care procedures performed on, and the resuscitation markers of, critically wounded personnel in Afghanistan following point of injury (POI) transports and intratheater transports. Providing this information may help inform discussion on the design of critical care transportation platforms for future conflicts. METHODS: The Department of Defense Trauma Registry (DoDTR) was queried for descriptive data on combat casualties with Injury Severity Score (ISS) greater than 15 who were transported in Operation Enduring Freedom (OEF) from 1 January 2010 to 31 December 2010...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
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