Pneumothorax and Pregnancy: A Systematic Review of the Current Literature and Proposal of Treatment Recommendations

Conclusion The analysis of the current literature provides low evidence, since there are only case reports and small case series. It is likely that the frequency of this condition is underestimated. However, this analysis permits to draw some conclusions concerning the timing of pneumothorax treatment, the operative strategy, and the mode of delivery to decrease the risk for the mother and the fetus. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Review Article Source Type: research

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Conclusion A precise postnatal diagnosis is very important to organize the proper management of the pregnancies with fetuses with CPAM. The positive predictive value of the prenatal diagnosis of CPAM via ultrasonography is of 70.3%. The differential diagnosis of CPAM may be prolonged to the postpartum period in some cases.
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
By SAURABH JHA, MD Slumdog TB No one knows who gave Rahul Roy tuberculosis. Roy’s charmed life as a successful trader involved traveling in his Mercedes C class between his apartment on the plush Nepean Sea Road in South Mumbai and offices in Bombay Stock Exchange. He cared little for Mumbai’s weather. He seldom rolled down his car windows – his ambient atmosphere, optimized for his comfort, rarely changed. Historically TB, or “consumption” as it was known, was a Bohemian malady; the chronic suffering produced a rhapsody which produced fine art. TB was fashionable in Victorian Britain...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Artificial Intelligence Health Tech Saurabh Jha TB tuberculosis Source Type: blogs
Use of bedside ultrasonography to identify life-threatening injuries for patients with blunt and penetrating trauma is the standard of care in the emergency department. The “FAST” examination—focused assessment with sonography for trauma—ultrasound scan of the chest and abdomen allows clinicians to assess critical regions for free fluid without use of invasive procedures as quickly and as often as needed. In addition, ultrasonography has a high degree of sensitivity and specificity and is safe during pregnancy. For patients requiring evaluation of the pleura, the “eFAST” (or extended FAS...
Source: Advanced Emergency Nursing Journal - Category: Emergency Medicine Tags: IMAGING Source Type: research
This study examined the outcomes of needle aspiration and closed thoracostomy in first episodes of PSP requiring intervention. Methods: This study was a randomized, prospective, single-center trial conducted between December 2015 and August 2016. Patients of all ages with a documented first episode of PSP who were unilaterally affected, hemodynamically stable, and had a pneumothorax measuring over 25% in size were included. Patients with underlying lung disease, severe comorbidities, bilateral pneumothorax, tension pneumothorax, recurrent pneumothorax, traumatic pneumothorax, and pregnancy were excluded. Patients were ...
Source: Korean Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research
CONCLUSION: A high degree of suspicion is required to avoid misdiagnosis and management delay. Surgical treatment must be individualized according to gestational age and clinical setting. PMID: 30799220 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
We present a case of chemical pleurodesis with autologous blood and freeze-dried concentrated human thrombin during pregnancy.
Source: Taiwanese Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Case Report Source Type: research
We present a case of hyperemesis gravidarum, which continued until the third trimester and developed secondary hepatorenal failure, a water-electrolyte imbalance, intrauterine growth restriction, anhydramnios, foetal distress and neonatal mortality. PMID: 29385934 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
Many parameters are studied for weaning. Our study determine the utility of diaphragmatic ultrasound in predicting weaning outcomeMethods: 54 mechanically ventilated ICU patients were prospectively studied. Those with age80, Pregnant, GI surgery, head injury, CNS disease, massive pleural effusion or ascitis, pneumothorax, intercostal chest drainage tube were excluded. Diaphragmatic USG after weaning was planned. RSBI calculated at 1 and 5 minutes. Ultrasound was done within 15 minutes. %change in diaphragmatic thickness between expiration and inspiration (tdi%)was calculated. Data analysis was done using SPSS20.0.Results: ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Acute Critical Care Source Type: research
Abstract Thoracic surgeons are sometimes asked to consult on the management of a patient who is pregnant. Conditions commonly encountered are empyema, spontaneous pneumothorax, and diaphragmatic hernia. Lung cancer is rarely seen in pregnancy, but its incidence is rising. Diagnostic imaging and perioperative management involve the navigation of fetal risks and nuances in maternal physiology. Shared decision making within a multidisciplinary framework will optimally guide the course of management. PMID: 29150031 [PubMed - in process]
Source: Clinical Lung Cancer - Category: Cancer & Oncology Authors: Tags: Thorac Surg Clin Source Type: research
Conditions:   Deep Vein Thrombosis;   Abdominal Aortic Aneurism;   Pneumothorax;   Gallbladder Diseases;   Hydronephrosis;   Pregnancy, Ectopic;   Ascites;   Pleural Effusion;   Pericardial Effusion Intervention:   Diagnostic Test: Point-of-care ultrasound Sponsors:   Ossi Hannula;   University of Eastern Finland Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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