Chest Tube Size Selection: Evaluating Provider Practices, Treatment Efficacy, and Complications in Management of Thoracic Trauma
This study aimed to evaluate provider practice patterns, treatment efficacy, and complications related to the selection of chest tube sizes for patients with thoracic trauma.METHODS: A retrospective chart review was performed on adult patients who underwent tube thoracostomy for traumatic PTX, HTX, or HPTX at a Level 1 Trauma Center from January 2016 to December 2021. Comparison was made between SB and LB thoracostomy tubes. The primary outcome was indication for chest tube placement based on injury pattern. Secondary outcomes included retained hemothorax, insertion-related complications, and duration of chest tube placeme...
Source: The American Surgeon - April 1, 2024 Category: Surgery Authors: Genevieve E Messa Cameron J Fontenot Paige E Deville John P Hunt Alan B Marr Jonathan E Schoen Lance E Stuke Patrick P Greiffenstein Alison A Smith Source Type: research
Cancers, Vol. 16, Pages 1146: Bronchopleural Fistula after Lobectomy for Lung Cancer: How to Manage This Life-Threatening Complication Using Both Old and Innovative Solutions
Conclusions: The correct management of BPF depends on various factors: timing of onset, size of the fistula, anatomic localization, and the general condition of the patient. In the case of failure of various initial therapeutic approaches, completion intervention or OWT could be considered. (Source: Cancers)
Source: Cancers - March 14, 2024 Category: Cancer & Oncology Authors: Antonio Mazzella Monica Casiraghi Clarissa Uslenghi Riccardo Orlandi Giorgio Lo Iacono Luca Bertolaccini Gianluca Maria Varano Franco Orsi Lorenzo Spaggiari Tags: Article Source Type: research
Management of Blunt Chest Trauma
Surg Clin North Am. 2024 Apr;104(2):343-354. doi: 10.1016/j.suc.2023.09.007. Epub 2023 Oct 29.ABSTRACTCommon mechanisms of blunt thoracic injury include motor vehicle collisions and falls. Chest wall injuries include rib fractures and sternal fractures; treatment involves supportive care, multimodal analgesia, and pulmonary toilet. Pneumothorax, hemothorax, and pulmonary contusions are also common and may be managed expectantly or with tube thoracostomy as indicated. Surgical treatment may be considered in select cases. Less common injury patterns include blunt trauma to the tracheobronchial tree, esophagus, diaphragm, hea...
Source: The Surgical Clinics of North America - March 7, 2024 Category: Surgery Authors: Jared Griffard Lisa M Kodadek Source Type: research
Management of Blunt Chest Trauma
Surg Clin North Am. 2024 Apr;104(2):343-354. doi: 10.1016/j.suc.2023.09.007. Epub 2023 Oct 29.ABSTRACTCommon mechanisms of blunt thoracic injury include motor vehicle collisions and falls. Chest wall injuries include rib fractures and sternal fractures; treatment involves supportive care, multimodal analgesia, and pulmonary toilet. Pneumothorax, hemothorax, and pulmonary contusions are also common and may be managed expectantly or with tube thoracostomy as indicated. Surgical treatment may be considered in select cases. Less common injury patterns include blunt trauma to the tracheobronchial tree, esophagus, diaphragm, hea...
Source: The Surgical Clinics of North America - March 7, 2024 Category: Surgery Authors: Jared Griffard Lisa M Kodadek Source Type: research
Prehospital Extended FAST Exams Improve Clinical Decision Making by Helicopter EMS Crews: A Retrospective Case Series
This study highlights the improvements in clinical care that may result from the introduction of eFAST exams in the prehospital environment.PMID:38363335 | DOI:10.1080/10903127.2024.2320746 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 16, 2024 Category: Endocrinology Authors: Benjamin Smith Daniel Willner William Roper Christopher McGrath Source Type: research
Clinical Challenge: Acute Onset of Chest Pain and Dyspnea
The purpose of this Clinical Challenge is to educate nurse practitioners who are employed in the acute care setting on the diagnosis and management of a spontaneous pneumothorax. A spontaneous pneumothorax affects males more than females and tends to impact the adolescent male population. Evidence-based guidelines from the American College of Chest Physicians and the British Thoracic Society are reviewed. Treatment modalities for a spontaneous pneumothorax such as needle aspiration, thoracostomy tube placement, video-assisted thoracostomy, and open thoracotomy are discussed. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 16, 2024 Category: Nursing Authors: Stephanie P. Arceneaux Tags: Case Challenge Source Type: research
Evaluating emergency department visits for spontaneous and traumatic pneumomediastinum: a retrospective analysis
CONCLUSION: Upon examining the causes of pneumomediastinum cases, it was observed that patients with a history of trauma required thoracostomy tube insertion and surgical intervention more frequently. However, when classified as spontaneous or trau-matic, both groups exhibited similar clinical courses and outcomes. Both groups demonstrated favorable clinical outcomes.PMID:38305659 | DOI:10.14744/tjtes.2024.66059 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - February 2, 2024 Category: Emergency Medicine Authors: Nurullah Ishak I şık Gulhan Kurtoglu Cel ık Bahattin I şık Source Type: research
Evaluating emergency department visits for spontaneous and traumatic pneumomediastinum: a retrospective analysis
CONCLUSION: Upon examining the causes of pneumomediastinum cases, it was observed that patients with a history of trauma required thoracostomy tube insertion and surgical intervention more frequently. However, when classified as spontaneous or trau-matic, both groups exhibited similar clinical courses and outcomes. Both groups demonstrated favorable clinical outcomes.PMID:38305659 | DOI:10.14744/tjtes.2024.66059 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - February 2, 2024 Category: Emergency Medicine Authors: Nurullah Ishak I şık Gulhan Kurtoglu Cel ık Bahattin I şık Source Type: research
