Evaluating the safety of intraprocedural chest tube removal during medical thoracoscopy
CONCLUSIONS: Intraprocedural CT removal for MT is safe and may decrease utilization of additional analgesia post procedure. Further prospective studies are necessary to validate these conclusions.PMID:38331227 | DOI:10.1016/j.rmed.2024.107560 (Source: Respiratory Care)
Source: Respiratory Care - February 8, 2024 Category: Respiratory Medicine Authors: Bertin D Salguero Sidra Salman Abhinav Agrawal Christian M Lo Cascio Greta Joy Udit Chaddha Source Type: research

Caudal Tilt Ultrasound: Are Things Looking Up for Axillary Vein Access?
The choice of vascular access for transvenous lead implantation must balance ease of vascular access against radiation exposure and risk of procedure-related complications. Although subclavian vein puncture has a well-defined anatomic landmark and enables access to a large caliber vein, it carries risks of pneumothorax, inadvertent arterial puncture, and lead dysfunction due to subclavian crush syndrome. In contrast, cephalic vein cutdown avoids pneumothorax and reduces fluoroscopy through direct visualization of the vein, but is limited by occasional absence of the vein, difficulty passing multiple leads, increased proced...
Source: Heart Rhythm - February 8, 2024 Category: Cardiology Authors: Anand Thiyagarajah, Dennis H. Lau Source Type: research

Diagnosis and management of idiopathic spontaneous pneumothorax in adolescents
CONCLUSIONS: Idiopathic spontaneous PNO frequently occurs in teenage populations, and its likewise frequent recurrence is not satisfactorily predicted by chest CT findings. It is of paramount importance that patients be fully informed of the risk of recurrence.PMID:38326190 | DOI:10.1016/j.rmr.2023.12.002 (Source: Revue des Maladies Respiratoires)
Source: Revue des Maladies Respiratoires - February 7, 2024 Category: Respiratory Medicine Authors: J Mazenq J-C Dubus Source Type: research

Diagnosis and management of idiopathic spontaneous pneumothorax in adolescents
CONCLUSIONS: Idiopathic spontaneous PNO frequently occurs in teenage populations, and its likewise frequent recurrence is not satisfactorily predicted by chest CT findings. It is of paramount importance that patients be fully informed of the risk of recurrence.PMID:38326190 | DOI:10.1016/j.rmr.2023.12.002 (Source: Revue des Maladies Respiratoires)
Source: Revue des Maladies Respiratoires - February 7, 2024 Category: Respiratory Medicine Authors: J Mazenq J-C Dubus Source Type: research

Computed tomography-guided microwave ablation for right middle lobe pulmonary nodules: a retrospective, single-center, case-control study
CONCLUSIONS: CT-guided MWA for RML pulmonary nodules showed comparable efficacy compared with other lobes, but posed a higher risk of pneumothorax complications, necessitating longer MWA procedure times and extended hospital stays.PMID:38314666 | DOI:10.1080/02656736.2024.2307479 (Source: International Journal of Hyperthermia)
Source: International Journal of Hyperthermia - February 5, 2024 Category: Internal Medicine Authors: Yanting Hu Guoliang Xue Xinyu Liang Zhichao Li Nan Wang Pikun Cao Gang Wang Haitao Zhang Xiaohuan Zheng Aiguang Wang Wenhua Zhao Cuiping Han Zhigang Wei Xin Ye Source Type: research

Neonatal point-of-care lung ultrasound: what should be known and done out of the NICU?
Conclusion:  LU is still a useful tool in level I/II neonatal units, both for diagnostic and functional issues.What is Known:• Neonatal lung ultrasound has been recently introduced in the usual care in many Neonatal Intensive Care Units.What is New:• It also has many advantages in level I/II neonatal units, both for neonatologist or even pediatricians that treat neonates in those sites. (Source: European Journal of Pediatrics)
Source: European Journal of Pediatrics - February 5, 2024 Category: Pediatrics Source Type: research

Diagnostic role of thoracic ultrasound in patients with acute respiratory failure at emergency service
ConclusionUSG imaging could be preferred in the diagnosis of pneumonia, pulmonary edema, pleural effusion, pneumothorax, pulmonary embolism, and differential diagnosis at the emergency service. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 3, 2024 Category: General Medicine Source Type: research

Prehospital management of chest injuries in severely injured patients —a systematic review and clinical practice guideline update
ConclusionSome evidence suggests that ultrasound should be considered to identify pneumothorax in the prehospital setting. Otherwise, the recommendations from 2016 remained unchanged. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 3, 2024 Category: Emergency Medicine Source Type: research

Changing the view: Preventing pneumothorax during transvenous pacemaker implantation
(Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - February 2, 2024 Category: Cardiology Authors: Brodie L. Loudon, Geoffrey R. Wong Tags: INVITED EDITORIAL Source Type: research

Non-radiology Healthcare Professionals Significantly Benefit from AI-Assistance in Emergency-Related Chest Radiography Interpretation
Chest. 2024 Jan 29:S0012-3692(24)00131-4. doi: 10.1016/j.chest.2024.01.039. Online ahead of print.ABSTRACTBACKGROUND: Chest radiography (CXR) is still of crucial importance in primary diagnostics, but interpretation poses difficulties at times.RESEARCH QUESTION: Can a convolutional neural network (CNN)-based AI system that interprets CXRs add value in an emergency unit (EU) setting?STUDY DESIGN AND METHODS: A total of 563 CXRs acquired in the EU of a major university hospital were retrospectively assessed twice by three board-certified radiologists (BCRs), three radiology residents (RRs), and three EU-experienced non-radio...
Source: Chest - January 31, 2024 Category: Respiratory Medicine Authors: Jan Rudolph Christian Huemmer Alexander Preuhs Guiulia Buizza Boj F Hoppe Julien Dinkel Vanessa Koliogiannis Nicola Fink Sophia S Goller Vincent Schwarze Nabeel Mansour Vanessa F Schmidt Maximilian Fischer Maximilian J örgens Najib Ben Khaled Thomas Lieb Source Type: research