scholarly journals A Case of Chylothorax Causing to Chest Tube Insertion for Spontaneous Pneumothorax

2013 ◽  
Vol 9 (3) ◽  
pp. 156-159
Author(s):  
Hirotoshi Kubokura ◽  
Masami Otsuka ◽  
Junichi Okamoto ◽  
Jitsuo Usuda
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tube Insertion ◽  
Chest Tube Insertion

scholarly journals Bradycardia after Tube Thoracostomy for Spontaneous Pneumothorax

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Yomi Fashola ◽  
Sanjeev Kaul ◽  
Douglas Finefrock
Keyword(s):  
Elderly Patient ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Rare Complication ◽  
Tube Thoracostomy ◽  
Shortness Of Breath ◽  
Tube Insertion ◽  
Chest Tube Insertion ◽  
Severe Bradycardia ◽  
Life Threatening

We present the case of an elderly patient who became bradycardic after chest tube insertion for spontaneous pneumothorax. Arrhythmia is a rare complication of tube thoracostomy. Unlike other reported cases of chest tube induced arrhythmias, the bradycardia in our patient responded to resuscitative measures without removal or repositioning of the tube. Our patient, who had COPD, presented with shortness of breath due to spontaneous pneumothorax. Moments after tube insertion, patient developed severe bradycardia that responded to Atropine. In patients requiring chest tube insertion, it is important to be prepared to provide cardiopulmonary resuscitative therapy in case the patient develops a life-threatening arrhythmia.

European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children

2021 ◽  
Author(s):  
Tutku Soyer ◽  
Anne Dariel ◽  
Jens Dingemann ◽  
Leopoldo Martinez ◽  
Alessio Pini-Prato ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Chest Tube ◽  
Open Surgery ◽  
Spontaneous Pneumothorax ◽  
Primary Spontaneous Pneumothorax ◽  
First Episode ◽  
Tube Insertion ◽  
Recurrent Pneumothorax ◽  
Chest Tube Insertion ◽  
Pleural Abrasion

Abstract Aim To evaluate the practice patterns of the European Pediatric Surgeons' Association (EUPSA) members regarding the management of primary spontaneous pneumothorax (PSP) in children. Methods An online survey was distributed to all members of EUPSA. Results In total, 131 members from 44 countries participated in the survey. Interventional approach (78%) is the most common choice of treatment in the first episode, and most commonly, chest tube insertion (71%) is performed. In the case of a respiratory stable patient, 60% of the responders insert chest tubes if the pneumothorax is more than 2 cm. While 49% of surgeons prefer surgical intervention in the second episode, 42% still prefer chest tube insertion. Main indications for surgical treatment were the presence of bullae more than 2 cm (77%), and recurrent pneumothorax (76%). Eighty-four percent of surgeons prefer thoracoscopy and perform excision of bullae with safe margins (91%). To prevent recurrences, 54% of surgeons perform surgical pleurodesis with pleural abrasion (55%) and partial pleurectomy (22%). The responders who perform thoracoscopy use more surgical pleurodesis and prefer shorter chest tube duration than the surgeons performing open surgery (p < 0.05). Conclusion Most of the responders prefer chest tube insertion in the management of first episode of PSP and perform surgical treatment in the second episode in case of underlying bullae more than 2 cm and recurrent pneumothorax. The surgeons performing thoracoscopy use more surgical pleurodesis and prefer shorter chest tube duration than the responders performing open surgery. The development of evidence-based guidelines may help standardize care and improve outcomes in children with PSP.

Safety of the Anterior Approach Versus the Lateral Approach for Chest Tube Insertion by Residents Treating Spontaneous Pneumothorax: A Propensity Score Weighted Analysis

2019 ◽  
Author(s):  
Akihiro Shiroshita ◽  
Hiroki Matsui ◽  
Kazuki Yoshida ◽  
Atsushi Shiraishi ◽  
Yu Tanaka ◽  
...  
Keyword(s):  
Propensity Score ◽  
Chest Tube ◽  
Anterior Approach ◽  
Spontaneous Pneumothorax ◽  
Lateral Approach ◽  
Care Hospital ◽  
Tube Insertion ◽  
Chest Tube Insertion ◽  
Tube Malposition ◽  
Approach Group

Abstract Background Chest tube malposition (i.e., failure in inserting a chest tube to the functional sites) is the most common complication during chest tube insertion. Chest tube insertion into the thoracic cavity generally involves two approaches: the anterior approach and the lateral approach. To our knowledge, no report has compared the safety of the anterior approach with that of the lateral approach. In the present study, we compared the risk of chest tube malposition with the anterior or lateral approach for thoracostomy performed for patients with spontaneous pneumothorax by junior and senior residents. Methods We retrospectively included patients aged ≥20 years who exhibited primary or secondary spontaneous pneumothorax without pleural adhesion and underwent chest tube drainage performed by junior or senior residents at tertiary care hospital. We collected data on the patients’ age, sex, and body mass index (BMI); setting of chest tube insertion; department where the chest tube was inserted; and other relevant background information. The study exposure involved insertion of the chest tube in the midclavicular line (anterior approach) or the anterior or midaxillary line (lateral approach). The primary outcome was the number of chest tube malpositions. Multiple imputation was used for missing data. The propensity score within each imputed dataset was calculated by using the collected variables. The inverse probability of treatment weighting (IPTW) method was used to adjust for baseline confounders. Results We identified 34 and 219 patients who underwent thoracostomy using the midclavicular and lateral approaches, respectively. IPTW analysis revealed that the estimated odds ratio for chest tube malposition in the anterior approach group versus the lateral approach group was 0.61 (95% confidence interval, 0.17–2.11). Conclusions In patients being treated for primary or secondary pneumothorax by junior or senior residents, the risk of chest tube malposition in thoracostomies performed using the midclavicular approach may not be lower than that in thoracostomies performed using the lateral approach.

Symptomatic pneumorrhachis after chest tube insertion for spontaneous pneumothorax

2010 ◽  
Vol 28 (7) ◽  
pp. 846.e1-846.e2 ◽  
Author(s):  
Jung Soo Park ◽  
Hoon Kim ◽  
Suk Woo Lee ◽  
Jin Hong Min ◽  
Si Wook Kim ◽  
...  
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tube Insertion ◽  
Chest Tube Insertion

scholarly journals Spontaneous Tuberculosis-Associated Tension Pneumothorax: A Case Report and Literature Review

2020 ◽  
Vol 3 (2) ◽  
pp. 35-39
Author(s):  
Aditya Doni Pradana
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tension Pneumothorax ◽  
Initial Assessment ◽  
Tube Insertion ◽  
Chest Tube Insertion ◽  
Hemodynamic Deterioration ◽  
Threatening Condition ◽  
Life Threatening ◽  
Needle Decompression

Secondary spontaneous pneumothorax (SSP) is one of the major complications of pulmonary tuberculosis (TB), and it can be a life-threatening condition if it progresses to tension pneumothorax. A correct initial assessment and prompt intervention will prevent a hemodynamic deterioration in tension pneumothorax. Needle decompression followed by large-bore chest tube insertion is usually required in the management of SSP. We present a case of spontaneous TB-associated tension pneumothorax in a young adult which resolved with needle decompression without chest tube insertion.

scholarly journals Management and recurrence of spontaneous pneumothorax in children

2019 ◽  
Vol 25 (2) ◽  
pp. 86-92
Author(s):  
Martin Gariépy ◽  
Mona Beaunoyer ◽  
Marie-Claude Miron ◽  
Jocelyn Gravel
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tertiary Care ◽  
Treatment Modalities ◽  
First Episode ◽  
Tube Insertion ◽  
Paediatric Hospital ◽  
Chest Tube Insertion ◽  
Standardized Report

Abstract Objective No guideline clearly prescribes an approach to management of spontaneous pneumothorax in children. The objectives of this study were to evaluate practice variation in the management of spontaneous pneumothorax in children and its probability of recurrence. Methods This study was a retrospective chart review followed by a phone follow-up that included all children who had visited a tertiary care paediatric hospital for a first episode of spontaneous pneumothorax between 2008 and 2017. The primary outcomes were the management of pneumothorax (observation, oxygen, needle aspiration, intercostal chest tube, surgery) and the probability of recurrence. All charts were evaluated by a rater using a standardized report form and 10% of the charts were evaluated in duplicate. All children/families were contacted by phone to assess recurrence. The primary analyses were the proportions of each treatment modalities and recurrence, respectively. Results During the study period, 76 children were deemed eligible for the study. Among them, 59 had a primary spontaneous pneumothorax while 17 were secondary. The most common first therapeutic approaches were chest tube insertion (31), oxygen alone (27), and observation (14). A total of 54 patients were available for follow-up among whom a recurrence was observed in 28 (37% of the total cohort or 52% of available children). Conclusion Chest tube insertion was the first line of treatment in about 40% of children with a first spontaneous pneumothorax. In this population, the recurrence probability is established between 37 and 52% and the majority occurs in the following months.

IS THERE A NEED FOR ANTIBIOTIC USAGE FOLLOWING CHEST TUBE INSERTION IN PRIMARY SPONTANEOUS PNEUMOTHORAX?

CHEST Journal ◽  
2009 ◽  
Vol 136 (4) ◽  
pp. 132S
Author(s):  
Volkan Kara ◽  
Zeki Gunluoglu ◽  
Adalet Demir ◽  
Baris Medetoglu ◽  
Huseyin Melek ◽  
...  
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Antibiotic Usage ◽  
Primary Spontaneous Pneumothorax ◽  
Tube Insertion ◽  
Chest Tube Insertion
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