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Needle thoracostomy

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https://www.readbyqxmd.com/read/27869490/congenital-diaphragmatic-hernia-causing-cardiac-arrest-in-a-30-year-old-woman
#1
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...
November 21, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27629501/-chest-decompression-in-emergency-medicine-and-intensive-care
#2
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
#3
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...
August 20, 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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/26360355/what-is-the-optimal-device-length-and-insertion-site-for-needle-thoracostomy-in-uk-military-casualties-a-computed-tomography-study
#14
Georgina Blenkinsop, Somayyeh Mossadegh, Mark Ballard, Paul Parker
Significant lessons to inform best practice in trauma care should be learned from the last decade of conflict in Afghanistan and Iraq. This study used radiological data collated in the UK Military Hospital in Camp Bastion, Afghanistan, to investigate the most appropriate device length for needle chest decompression of tension pneumothorax (TP). We reviewed the optimal length of device and site needed for needle decompression of a tension pneumothorax in a UK military population and found no significant difference between sites for needle chest decompression (NCD)...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/26219285/a-new-protocol-for-concomitant-needle-aspiration-biopsy-and-localization-of-solitary-pulmonary-nodules
#15
Young Jo Sa, Jae Jun Kim, Young Du Kim, Sung Bo Sim, Seok Whan Moon
BACKGROUND: Pulmonary nodules may require thoracoscopic resection in cases where percutaneous needle aspiration (PCNA) is non-diagnostic or not technically feasible. We developed a new protocol to localize pulmonary nodules concomitantly with PCNA. We retrospectively reviewed the use of concomitant PCNA and preoperative localization under computed tomography (CT) guidance. METHODS: From Jan 2006 to Dec 2013, we performed PCNA and localization concomitantly on 34 pulmonary nodules (in 33 patients) using self-made, platinum microcoils...
2015: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26218706/re-optimal-training-for-emergency-needle-thoracostomy
#16
LETTER
Nicholas M Studer, Gregory T Horn
No abstract text is available yet for this article.
August 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/26210224/military-to-civilian-translation-of-battlefield-innovations-in-operative-trauma-care
#17
Adil H Haider, Lydia C Piper, Cheryl K Zogg, Eric B Schneider, Jean A Orman, Frank K Butler, Robert T Gerhardt, Elliott R Haut, Jacques P Mather, Ellen J MacKenzie, Diane A Schwartz, David W Geyer, Joseph J DuBose, Todd E Rasmussen, Lorne H Blackbourne
BACKGROUND: Historic improvements in operative trauma care have been driven by war. It is unknown whether recent battlefield innovations stemming from conflicts in Iraq/Afghanistan will follow a similar trend. The objective of this study was to survey trauma medical directors (TMDs) at level 1-3 trauma centers across the United States and gauge the extent to which battlefield innovations have shaped civilian practice in 4 key domains of trauma care. METHODS: Domains were determined by the use of a modified Delphi method based on multiple consultations with an expert physician/surgeon panel: (1) damage control resuscitation (DCR), (2) tourniquet use, (3) use of hemostatic agents, and (4) prehospital interventions, including intraosseous catheter access and needle thoracostomy...
December 2015: Surgery
https://www.readbyqxmd.com/read/26152549/needle-thoracostomy-for-patients-with-prolonged-transport-times-a-case-control-study
#18
Lori Weichenthal, Desiree Hansen Crane, Luke Rond, Conal Roche
UNLABELLED: Introduction The use of prehospital needle thoracostomy (NT) is controversial. Some studies support its use; however, concerns exist regarding misplacement, inappropriate patient selection, and iatrogenic injury. Even less is known about its efficacy in situations where there is a delay to definitive care. Hypothesis/Aim To determine any differences in survival of patients who underwent NT in the setting of prolonged versus short transport times, and to describe differences in mechanisms and complications between the two groups...
August 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/26125175/a-descriptive-analysis-of-us-prehospital-care-response-to-law-enforcement-tactical-incidents
#19
Sara J Aberle, Christine M Lohse, Matthew D Sztajnkrycer
BACKGROUND: Law enforcement tactical incidents involve high-risk operations that exceed the capabilities of regular, uniformed police. Despite the existence of tactical teams for 50 years, little is known about the frequency or nature of emergency medical services (EMS) response to tactical events in the United States. The purpose of this study was to perform a descriptive analysis of tactical events reported to a national EMS database. METHODS: Descriptive analysis of the 2012 National Emergency Medical Services Information System (NEMSIS) Public Release research data set, containing EMS emergency response data from 41 states...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/26100771/needle-thoracostomy-for-tension-pneumothorax-the-israeli-defense-forces-experience
#20
Jacob Chen, Roy Nadler, Dagan Schwartz, Homer Tien, Andrew P Cap, Elon Glassberg
BACKGROUND: Point of injury needle thoracostomy (NT) for tension pneumothorax is potentially lifesaving. Recent data raised concerns regarding the efficacy of conventional NT devices. Owing to these considerations, the Israeli Defense Forces Medical Corps (IDF-MC) recently introduced a longer, wider, more durable catheter for the performance of rapid chest decompression. The present series represents the IDF-MC experience with chest decompression by NT. METHODS: We reviewed the IDF trauma registry from January 1997 to October 2012 to identify all cases in which NT was attempted...
June 2015: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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