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Traumatic pneumothorax

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https://www.readbyqxmd.com/read/27913383/traumatic-haemopneumothorax-and-whole-body-subcutaneous-emphysema-successful-use-of-a-small-bore-chest-drain
#1
Benjamin Hardy, Nicholas Sunderland, Mevan Perera, Kathryn Channing
A 56-year-old man presented having had two falls at home. He had a background of multiple sclerosis. After his second fall, during which he had fallen onto the toilet injuring his right chest, he was brought into the emergency department reporting pleuritic chest discomfort. Immediately evident was extensive swelling from his forehead to his thighs, which on palpation was found to be subcutaneous emphysema. A chest X-ray showed a large right-sided pneumothorax for which a chest drain was inserted. A CT revealed extensive surgical emphysema, pneumomediastinum, pneumoperitoneum and gas within the spinal canal...
December 2, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27833502/is-it-safe-to-use-frova-airway-intubating-device-during-tracheal-intubation-in-difficult-airway-patient-with-multiple-and-chest-trauma
#2
Waseem M Hajjar, Nourah Alsubaie, Thamer A Nouh, Sami A Al-Nassar
Traumatic chest injury is one of the leading causes of death in motor vehicle accident (MVA). A complete tracheobronchial injury occurred in 1% of trauma cases and most of the cases died before arrival to the emergency department. We report a 37-year-old female involved in MVA presented to the emergency room (ER) with normal vital signs. Ten minutes later, her saturation dropped to 75%, which required ventilation; however, two attempts for endotracheal intubation failed. The third time frova airway intubating introducer used and succeeded...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27800537/the-accuracy-of-plain-radiography-in-detection-of-traumatic-intrathoracic-injuries
#3
Maryam Abedi Khorasgani, Ali Shahrami, Majid Shojaee, Hossein Alimohammadi, Afshin Amini, Hamid Reza Hatamabadi
INTRODUCTION: Rapid diagnosis of traumatic intrathoracic injuries leads to improvement in patient management. This study was designed to evaluate the diagnostic value of chest radiography (CXR) in comparison to chest computed tomography (CT) scan in diagnosis of traumatic intrathoracic injuries. METHODS: Participants of this prospective diagnostic accuracy study included multiple trauma patients over 15 years old with stable vital admitted to emergency department (ED) during one year...
November 2016: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/27787569/-cardiopulmonary-resuscitation-in-cardiac-arrest-following-trauma
#4
B A Leidel, K-G Kanz
For decades, survival rates of cardiac arrest following trauma were reported between 0 and 2 %. Since 2005, survival rates have increased with a wide range up to 39 % and good neurological recovery in every second person injured for unknown reasons. Especially in children, high survival rates with good neurologic outcomes are published. Resuscitation following traumatic cardiac arrest differs significantly from nontraumatic causes. Paramount is treatment of reversible causes, which include massive bleeding, hypoxia, tension pneumothorax, and pericardial tamponade...
October 27, 2016: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/27649662/a-retrospective-analysis-of-1-011-percutaneous-liver-biopsies-performed-in-patients-with-liver-transplantation-or-liver-disease-ultrasonography-can-reduce-complications
#5
V Filingeri, S Francioso, D Sforza, F Santopaolo, F M Oddi, G Tisone
OBJECTIVE: In the last decades, liver biopsy was the reference procedure for the diagnosis and follow-up of liver disease. Aim of present retrospective analysis was to assess the prevalence of complications and risk factors after Percutaneous Liver Biopsy (PLB) performed for diagnosis and staging in patients with chronic liver disease and for monitoring the graft in liver transplanted patients PATIENTS AND METHODS: Data were collected from a total of 1.011 PLB performed with the Menghini technique between January 2004 and December 2014 at the Hepatology and Transplant Units of the University of Rome Tor Vergata...
September 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27621099/traumatic-bronchial-injury
#6
Ali Cheaito, Areti Tillou, Catherine Lewis, Henry Cryer
INTRODUCTION: Tracheobronchial injury is a recognized, yet uncommon, result of blunt trauma to the thorax. Often the diagnosis and treatment are delayed, resulting in attempted surgical repair months or even years after the injury. PRESENTATION OF THE CASE: We present a case report of a 31-year old female who suffered a left main bronchus transection after a motor vehicle accident. The diagnostic, management issues, and clinical findings surrounding this injury are reviewed...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27549542/an-unusual-case-of-needle-embolus-presenting-with-delayed-spontaneous-pneumothorax
#7
May Al-Sahaf, Leanne Harling, Karen Harrison-Phipps, Andrea Bille
We report the case of a 39-year-old man presenting with an acute right-sided traumatic pneumothorax secondary to migration of a hypodermic needle fractured during intravenous drug use. We discuss the unusual passage of this foreign body from the left groin to the right ventricular wall and into the mediastinum, ultimately presenting with a right pneumothorax 1 year later.
September 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27489718/delayed-presentation-of-a-carotid-pseudoaneurysm-following-penetrating-neck-trauma
#8
Abdullah Alfawaz, Xiaoyi Li, Stefan Kénel-Pierre, Jane Yang, Jorge Rey, Handel Robinson
OBJECTIVE: Penetrating carotid trauma in a hemodynamically stable patient invariably presents with a pseudoaneurysm on initial imaging. Although extremely rare, delayed pseudoaneurysm formation has been reported. The purpose of this paper is to define this rare entity and propose a diagnostic and treatment plan. METHODS: We present a case of delayed presentation of carotid pseudoaneurysm following penetrating neck trauma. A systematic review of the literature was performed...
2016: SAGE open medical case reports
https://www.readbyqxmd.com/read/27428394/comparison-of-four-views-to-single-view-ultrasound-protocols-to-identify-clinically-significant-pneumothorax
#9
Gregg Helland, Romolo Gaspari, Samuel Licciardo, Alexandra Sanseverino, Ulises Torres, Timothy Emhoff, David Blehar
OBJECTIVE: Ultrasound (US) has been shown to be effective at identifying a pneumothorax (PTX); however, the additional value of adding multiple views has not been studied. Single- and four-view protocols have both been described in the literature. The objective of this study was to compare the diagnostic accuracy of single-view versus four-view lung US to detect clinically significant PTX in trauma patients. METHODS: This was a randomized, prospective trial on trauma patients...
July 18, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27393758/safety-and-efficacy-of-thoracostomy-in-the-air-medical-environment
#10
Kevin High, Jeremy Brywczynski, Oscar Guillamondegui
OBJECTIVE: The use of thoracostomy to treat tension pneumothorax is a core skill for prehospital providers. Tension pneumothoraces are potentially lethal and are often encountered in the prehospital environment. METHODS: The authors reviewed the prehospital electronic medical records of patients who had undergone finger thoracostomy (FT) or tube thoracostomy (TT) while under the care of air medical crewmembers. Demographic data were obtained along with survival and complications...
July 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27381403/blunt-force-trauma-in-veterinary-forensic-pathology
#11
L Ressel, U Hetzel, E Ricci
Veterinary pathologists commonly encounter lesions of blunt trauma. The development of lesions is affected by the object's mass, velocity, size, shape, and angle of impact and by the plasticity and mobility of the impacted organ. Scrape, impact, and pattern abrasions cause localized epidermal loss and sometimes broken hairs and implanted foreign material. Contusions are best identified after reflecting the skin, and must be differentiated from coagulopathies and livor mortis. Lacerations-traumatic tissue tears-may have irregular margins, bridging by more resilient tissue, deviation of the wound tail, crushed hairs, and unilateral abrasion...
September 2016: Veterinary Pathology
https://www.readbyqxmd.com/read/27380604/traumatic-pulmonary-herniation-at-the-diaphragmatic-junction-in-a-pediatric-patient-a-rare-complication-of-blunt-chest-trauma
#12
Kseniya Orlik, Erin Leslie Simon, Carrie Hemmer, Maria Ramundo
We present a case of traumatic intercostal pulmonary herniation in an 11-year-old boy after blunt trauma to the chest, without associated chest wall disruption or pneumothorax. This condition is especially uncommon in children, with only 5 previously reported cases and most occurring after penetrating chest trauma. To date, there are no reports in literature describing traumatic intercostal lung herniation at the diaphragmatic junction with a closed chest cavity in a child. The number of traumatic lung herniation diagnoses may be expanded by a more liberal use of computed tomography when serious injury is suspected...
July 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27353979/bedside-ultrasonography-auseful-tool-for-traumatic-pneumothorax
#13
Uzma Mumtaz, Zainab Zahur, Muhammad Amjad Chaudhry, Riaz Ahmed Warraich
OBJECTIVE: To compare the diagnostic accuracy of bedside ultrasound and supine chest radiography for the diagnosis of traumatic pneumothorax. STUDY DESIGN: Analytical study. PLACE AND DURATION OF STUDY: PIMS and PAEC General Hospital, Islamabad, from November 2014 to August 2015. METHODOLOGY: Patients coming to emergency departments of the study centres, who had sustained chest injuries, were inducted. Their portable bedside ultrasound and supine chest radiographs were taken for assessing pneumothorax and subsequently CTchest was done for confirmation as gold standard...
June 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27349638/minimally-invasive-rib-sparing-video-assisted-thoracoscopic-surgery-resections-with-high-dose-rate-intraoperative-brachytherapy-for-selected-chest-wall-tumors
#14
Daniel J Bourgeois, Sai Yendamuri, Mark Hennon, Jorge Gomez, Harish Malhotra, Lalith Kumaraswamy, Iris Wang, Todd Demmy
BACKGROUND: By avoiding chest wall resection, iridium-192 (Ir-192) high-dose-rate (HDR) intraoperative brachytherapy (IOBT) and video-assisted thoracoscopic surgery (VATS) might improve outcomes for high-risk patients requiring surgical resection for pulmonary malignancy with limited pleura and/or chest wall involvement. METHODS AND MATERIALS: Seven patients with non-small cell lung cancer involving the pleura or chest wall underwent VATS pulmonary resections combined with HDR IOBT...
May 7, 2016: Practical Radiation Oncology
https://www.readbyqxmd.com/read/27320840/are-esophagrams-indicated-in-pediatric-patients-with-spontaneous-pneumomediastinum
#15
Edward J Richer, Ramon Sanchez
BACKGROUND/PURPOSE: Spontaneous pneumomediastinum is an infrequent condition in pediatric patients. Presenting symptoms include chest pain, dysphagia, or vomiting, without initiating event. Patients may undergo esophagram because of concern for esophageal perforation as the source for pneumomediastinum, however, abnormalities are rarely demonstrated. The objective of this study is to identify whether esophagrams performed on pediatric patients for spontaneous pneumomediastinum are warranted...
June 6, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27252339/a-critical-appraisal-on-whether-a-traumatic-pneumothorax-should-be-managed-conservatively
#16
Hardeep Sahota, Joshua Hinton, Emma Worley, Ashleigh Milner, Ellen Kay, Sarah Badger
No abstract text is available yet for this article.
June 1, 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/27247208/tension-pneumothorax-due-to-perforated-colon
#17
Muhammad Abdullah, Paul Stonelake
A very rare case of traumatic diaphragmatic hernia is reported in a 65-year-old woman who presented 46 years after her initial thoracoabdominal injury with tension faecopneumothorax caused by a perforated colon in the chest cavity. She presented in a critical condition with severe respiratory distress, sepsis and acute kidney injury. She had a long-standing history of bronchial asthma with respiratory complications and had experienced progressive shortness of breath for the past year. A recent CT scan had excluded the presence of a diaphragmatic hernia but showed a significantly raised left hemidiaphragm...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27232292/large-pneumothorax-in-blunt-chest-trauma-is-a-chest-drain-always-necessary-in-stable-patients-a-case-report
#18
Baig M Idris, Ashraf F Hefny
INTRODUCTION: Pneumothorax is the most common potentially life-threatening blunt chest injury. The management of pneumothorax depends upon the etiology, its size and hemodynamic stability of the patient. Most clinicians agree that chest drainage is essential for the management of traumatic large pneumothorax. Herein, we present a case of large pneumothorax in blunt chest trauma patient that resolved spontaneously without a chest drain. PRESENTATION OF CASE: A 63- year- old man presented to the Emergency Department complaining of left lateral chest pain due to a fall on his chest at home...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27217881/massive-subcutaneous-emphysema-after-traumatic-pneumothorax
#19
Adriá Rosat, Pilar Gómez
No abstract text is available yet for this article.
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27213070/an-unusual-association-in-an-uncommon-disease-two-cases-of-spontaneous-pneumomediastinum-associated-with-pneumorrhachis
#20
Luís Martins, Patrícia Dionísio, Susana Moreira, Alda Manique, Isabel Correia, Cristina Bárbara
Pneumomediastinum, the presence of free air in the mediastinum, is described as spontaneous pneumomediastinum when there is no apparent cause such as trauma, surgery, interventional procedures, or intrathoracic infections. Pneumorrhachis is a rare clinical condition, consisting of intraspinal air. The main causes are iatrogenic, traumatic, and nontraumatic. Spontaneous mediastinum is usually associated with subcutaneous emphysema and, occasionally, with pneumothorax; however, its association with pneumorrhachis is extremely rare...
2016: Case Reports in Pulmonology
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