Evaluating emergency department tube thoracostomy: A single-center use of trauma video review to assess efficiency and technique
Emergency department tube thoracostomy is a common procedure; however, assessing procedural skills is difficult. We sought to describe procedural variability and technical complications of emergency department tube thoracostomy using trauma video review. We hypothesized that factors such as hemodynamic abnormality lead to increased technical difficulty and malpositioning. (Source: Surgery)
Source: Surgery - February 3, 2023 Category: Surgery Authors: Alexander L. Marinica, Madhuri B. Nagaraj, Matthew Elson, Michael A. Vella, Daniel N. Holena, Ryan P. Dumas Source Type: research

Prehospital Needle Decompression Should Not Be Compared With Trauma Center Chest Tube Placement —Reply
In Reply We appreciate the interest of Jouffroy and Vivien in our study. Given the reported failure rates and complications of prehospital needle decompression (PHND), the value of the intervention has been questioned. Thus, we sought not to provide another detailed description in a case series but investigate in one of the largest populations undergoing PHND whether there is a potential outcome benefit to support further refinement and advancement of this technique. A major limitation has been the difficulty of diagnosing tension pneumothorax in the field and the empirical nature of PHND, leading to a lack of comparative ...
Source: JAMA Surgery - February 1, 2023 Category: Sports Medicine Source Type: research

Empyema necessitans: After recent thoracostomy in an immunocompromised patient
Empyema necessitans is a rare complication of pleural space infections that dissects through the pleura into the soft tissues of the chest. This case describes an unexpected complication of an empyema treated in an immunocompromised patient. Key messageThis paper consists of a clinical image of an unexpected complication of a pleural space infection that dissects through the pleura into the soft tissues of the chest in an immunocompromised patient. (Source: Respirology Case Reports)
Source: Respirology Case Reports - January 26, 2023 Category: Respiratory Medicine Authors: Joana Almeida Borges, Daniela Madama Tags: CLINICAL IMAGE Source Type: research

Thoracic Point-of-Care-Ultrasound is an Accurate Diagnostic Modality for Clinically Significant Traumatic Pneumothorax
CONCLUSION: Thoracic POCUS accurately identifies the majority of clinically significant pneumothoraces in both blunt and penetrating trauma patients. Common themes for false negative thoracic ultrasound in the expert blinded over-read process identified key gaps in training to inspire ultrasound education and medical education research.PMID:36658000 | DOI:10.1111/acem.14663 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 19, 2023 Category: Emergency Medicine Authors: Stephanie DeMasi Mark S Parker Michael Joyce Katherine Mulligan Sonya Feeser Jessica R Balderston Source Type: research

Operative Versus Percutaneous Drainage with Fibrinolysis for Complicated Pediatric Pleural Effusions: A Nationwide Analysis
This study aims to compare the nationwide outcomes of pediatric patients with complicated pleural effusions.Methods: Patients (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - January 18, 2023 Category: Surgery Authors: Carlos Theodore Huerta, Karishma Kodia, Walter A. Ramsey, Alejandro Espinel, Gareth P. Gilna, Rebecca A. Saberi, Joshua Parreco, Chad M. Thorson, Juan E. Sola, Eduardo A. Perez Source Type: research

Off-label use of intrabronchial valves for persistent air leak is safe and effective: a retrospective case analysis
CONCLUSIONS: IBVs are a minimally invasive, well tolerated treatment modality for patients with PAL and a viable alternative to invasive surgical interventions. Procedure or valve-related complications are uncommon. Valves can be removed and do not preclude surgical intervention. Updated guidelines are necessary to formalize PAL management.PMID:36647468 | PMC:PMC9840033 | DOI:10.21037/jtd-22-824 (Source: Journal of Thoracic Disease)
Source: Journal of Thoracic Disease - January 17, 2023 Category: Respiratory Medicine Authors: Harpreet Singh Jonathan S Kurman Chinmay Jani Mohammed Abdalla Brandon DePaul Bryan S Benn Source Type: research