In diagnosis of pleural effusion and pneumothorax in the intensive care unit patients: Can chest us replace bedside plain radiography?
Conclusions In evaluation of ICU patients with pleural effusion and pneumothorax, chest US is the first bedside tool with high diagnostic performance. These chest conditions are urgent especially in seriously ill patients, as both need US guided drainage. Chest US has many advantages, including non invasive examination in multiple planes, free of radiation hazard, less expensive, real-time, high sensitivity and diagnostic accuracy in chest lesions detection. Lung ultrasound is being exclusive than bedside chest X-ray and equal to chest CT in diagnosing pleural effusion and pneumothorax.
We report a case of PA in a young patient after pleurodesis for recurrent pneumothorax. Clinical resolution was achieved with systemic and local antifungal therapy combined with surgical debridement. Hepatotoxicity led to a switch from voriconazole to isavuconazole, with a successful outcome.
ConclusionsCT ‐guided biopsy is a safe and highly accurate diagnostic method for SCLNs.
Publication date: Available online 22 February 2020Source: The Annals of Thoracic SurgeryAuthor(s): Takashi Sakai, Yoko Azuma, Atsushi Sano, Naobumi Tochigi, Akira IyodaAbstractA 41-year-old woman was admitted with a recurrent pneumothorax coincident with menstruation 2 months after a first occurrence. Video-assisted thoracic surgery was performed for definitive diagnosis and pneumothorax treatment. Bluish diaphragmatic spots and three lung bullae were noted. A lung fistula was observed in one of the bullae, and the diaphragmatic lesion and bullae were resected. The bulla with air leakage and the diaphragmatic lesion were ...
ConclusionCT fluoroscopy-guided CNB for pulmonary nodules ≤ 8 mm showed a high diagnostic yield without severe complications.
ConclusionIn Europe in recent years for the availability of the vascular device of small dimensions and materials increasingly compatible, the "PICC-PORT" is positioned in the veins of the arm with ultrasound-guidance without complications such as pneumothorax, arterial puncture, hematoma of the neck, Pinch-off syndrome, such as the clinical case presented with extensive scars on the chest and neck. Thoracic devices (chest port, tunnel venous catheter) are not indicated in thickened and inelastic skins, due to the high risk of dehiscence of the surgical wound.
To identify patient and procedural characteristics associated with incidence of pneumothorax in CT-guided lung biopsies using a machine learning pipeline.
Determine the overall complication rate and the effectiveness of pleural blood patching for pneumothorax treatment in CT fluoroscopically-guided lung biopsies.
To determine iatrogenic pneumothorax rates affected by biopsy gauge size, patient and lesional factors for lung biopsies performed at a small university hospital.
This study is designed to evaluate single-center experience in postprocedural follow-up CXR after PLB and to compare utility of single vs. serial CXRs post PLB.
Biosentry tract sealant system (BTS) is a Food and Drug Administration –approved device that deploys a hydrogel plug to seal the pleural puncture after CT-guided transthoracic lung biopsy (CTLB). It has been shown to reduce pneumothorax (PTX) rates with a 20G biopsy-19G introducer needle. The purpose of this study is to evaluate if BTS reduces PTX rates in patients u ndergoing CTLB with 18G biopsy-17G introducer needle (17G/18G system).