scholarly journals Emergent needle decompression for tension pneumothorax resulting in life threatening intercostal artery injury

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
John David Gatz ◽  
Thomas Grissom ◽  
Ravi Chauhan
Keyword(s):  
Tension Pneumothorax ◽  
Intercostal Artery ◽  
Artery Injury ◽  
Life Threatening ◽  
Needle Decompression

scholarly journals Hemoperitoneum Due to Penetrating Intercostal Artery Injury: A Case Report of a Rare and Still Understudied Entity

2022 ◽  
Vol 5 (3) ◽  
Author(s):  
Maya Paran ◽  
Sivan Barkai ◽  
Gerardo Camarillo ◽  
Boris Kessel ◽  
Alexander Korin
Keyword(s):  
Case Report ◽  
Penetrating Injury ◽  
Organ Injury ◽  
Intercostal Artery ◽  
Abdominal Organ ◽  
Unique Case ◽  
Artery Injury ◽  
Life Threatening

Intercostal artery injury may be life-threatening and usually presents as hemothorax. We report a unique case of penetrating injury, causing hemoperitoneum due to intercostal artery injury, without thoracic involvement. During urgent laparotomy, no intra-abdominal organ injury was found. Hemostasis was successfully achieved via suturing through an additional lateral 10cm incision through the left thorax.

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 Non-traumatic Tension Gastrothorax: A Potential Mimicker of Tension Pneumothorax

2021 ◽  
Vol 15 (8) ◽  
pp. 1-7
Author(s):  
Jonathan D. Pierce ◽  
Neal R. Shah ◽  
Ata A. Rahnemai-Azar ◽  
Amit Gupta
Keyword(s):  
Clinical Presentation ◽  
Tension Pneumothorax ◽  
Accurate Diagnosis ◽  
Imaging Features ◽  
Elderly Female ◽  
Hemodynamic Compromise ◽  
Mediastinal Shift ◽  
Increased Risk ◽  
Life Threatening ◽  
Tension Gastrothorax

Tension gastrothorax is a rare, life-threatening clinical condition caused by intrathoracic herniation of the stomach through a diaphragmatic defect which becomes increasingly distended over time. If not recognized promptly, this can rapidly progress to respiratory distress, mediastinal shift, and hemodynamic compromise. Initial clinical presentation and imaging findings closely mirror those of tension pneumothorax, confounding diagnosis and potentially leading to unnecessary interventions with increased risk of morbidity and mortality. Here, we present a case of an elderly female who presented with a non-traumatic tension gastrothorax and a review of key imaging features and strategies to aid in recognition and accurate diagnosis of this emergent clinical entity.

Sonographic evaluation of chest wall thickness in Chinese adults in Hong Kong: Should the updated (10th edition) Advance Trauma Life Support guidelines on preferred site of needle thoracocentesis in tension pneumothorax be adopted in the Asian population?

Trauma ◽  
2020 ◽  
pp. 146040862093436
Author(s):  
Stephanie Dorothy Pui-Ming Yu ◽  
James Siu Ki Lau ◽  
Ka Leung Mok ◽  
Pui Gay Kan
Keyword(s):  
Chest Wall ◽  
Wall Thickness ◽  
Life Support ◽  
Tension Pneumothorax ◽  
Intercostal Space ◽  
Chinese Patients ◽  
Point Of Care Ultrasound ◽  
Chinese Adults ◽  
Anterior Axillary Line ◽  
Needle Decompression

Objective To compare the anterior with lateral mean chest wall thickness measured by bedside ultrasound in Chinese adults in order to suggest a preferred site for needle decompression in tension pneumothorax. Study design This was an observational cross-sectional study conducted in a regional hospital over three months. Subjects were recruited by convenience sampling. Chest wall thickness at the second intercostal space, mid clavicular line, fifth intercostal space, anterior axillary line and fifth intercostal space and mid axillary line was measured using ultrasound on both sides. Range, mean values and confidence intervals were calculated. Results One-hundred and fourteen subjects were recruited. The mean anterior chest wall thickness was 2.62 cm (at second intercostal space, mid-clavicular line) and mean lateral chest wall was 2.68 cm (at fifth intercostal space, anterior axillary line) and 2.87 cm (at fifth intercostal space and mid-axillary line) respectively. Chest wall thickness at fifth intercostal space and mid-axillary line was significantly greater than second intercostal space, mid-clavicular line ( p < 0.01). Chest wall thickness was greater than 5 cm in 3.5% of the study population. Conclusion There is a need for population-based guidelines. We recommend needle decompression at the second intercostal space, mid-clavicular line with a 50-mm angiocath for Chinese patients with tension pneumothorax. A lateral approach at the fifth intercostal space, anterior axillary line may be considered as an alternative in case of failure. Prehospital point-of-care ultrasound may be a useful adjunct in managing such patients.

The pre-hospital management of life-threatening chest injuries: A consensus statement from the Faculty of Pre-Hospital Care, Royal College of Surgeons of Edinburgh

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Caroline Leech ◽  
Keith Porter ◽  
Richard Steyn ◽  
Colville Laird ◽  
Imogen Virgo ◽  
...  
Keyword(s):  
Royal College ◽  
Hospital Care ◽  
Consensus Statement ◽  
Flail Chest ◽  
Tension Pneumothorax ◽  
Hospital Management ◽  
Consensus Meeting ◽  
Multiple Rib Fractures ◽  
Chest Injuries ◽  
Life Threatening

‘The pre-hospital management of chest injury: a consensus statement’ was originally published by the Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh in 2007. To update the pre-existing guideline, a consensus meeting of stakeholders was held by the Faculty of Pre-hospital Care in Coventry in November 2013. This paper provides a guideline for the pre-hospital management of patients with the life-threatening chest injuries of tension pneumothorax, open pneumothorax, massive haemothorax, flail chest (including multiple rib fractures), and cardiac tamponade.

scholarly journals Life threatening external iliac artery injury following total hip replacement

2002 ◽  
Vol 49 (3) ◽  
pp. 323-324 ◽  
Author(s):  
Mahesh Kumar Arora ◽  
Anuj Bhatia ◽  
Ganga Prasad ◽  
M. S. Subramanyam
Keyword(s):  
Total Hip Replacement ◽  
Iliac Artery ◽  
Hip Replacement ◽  
External Iliac Artery ◽  
Total Hip ◽  
Artery Injury ◽  
Life Threatening

Evaluation of a novel thoracic entry device versus needle decompression in a tension pneumothorax swine model

2018 ◽  
Vol 215 (5) ◽  
pp. 832-835 ◽  
Author(s):  
John Kuckelman ◽  
Mike Derickson ◽  
Cody Phillips ◽  
Morgan Barron ◽  
Shannon Marko ◽  
...  
Keyword(s):  
Tension Pneumothorax ◽  
Swine Model ◽  
Needle Decompression
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