scholarly journals Chest Tubes

2021 ◽  
Author(s):  
Mohit Kumar Joshi

Insertion of intercostal drainage (ICD) tube is one of the commonest surgical procedure that is life saving in certain circumstances. Although the procedure is being used for long, yet there is no consensus in its management. The procedure is simple to perform but the incidence of the complications, which primarily occur due to improper positioning of the tube and poor post-procedural care, is as high as 40%. It is therefore essential that all clinicians should be familiar with this simple, common and lifesaving procedure. This chapter provides a comprehensive overview of various aspects of intercostal drainage including the prerequisites, technique of insertion, post-procedural care, complications and common pitfalls in the management of chest tubes in the light of the recent advances and updates.

2021 ◽  
Vol 325 ◽  
pp. 124685
Author(s):  
Rijuta Ganesh Saratale ◽  
Si-Kyung Cho ◽  
Ganesh Dattatraya Saratale ◽  
Avinash A. Kadam ◽  
Gajanan S. Ghodake ◽  
...  

2018 ◽  
Vol 106 ◽  
pp. 21-36 ◽  
Author(s):  
Linda Monaci ◽  
Elisabetta De Angelis ◽  
Nicola Montemurro ◽  
Rosa Pilolli

1981 ◽  
Vol 3 (3) ◽  
pp. 71-76
Author(s):  
Ann R. Stark

The general pediatrician plays important roles even as neonatology becomes more specialized: first in the evaluation of the newborn infant and in the organization of resources for care; and second as a major influence in the education of the parents. Awareness of significant advances will allow appropriate counseling of parents and obstetricians. Inasmuch as perinatal centers can provide care for mothers and babies that other hospitals cannot, pediatricians must ensure that the regionalization network and transport mechanism are established so that life-saving advances are available for their patients. Then, the pediatrician and the obstetrician, as members of a team, can provide the best possible care to mother and infant.


2021 ◽  
Author(s):  
Shaoxuan Yang ◽  
Yihuan Yu ◽  
Xinjin Gao ◽  
Zhengping Zhang ◽  
Feng Wang

This review provides a timely and comprehensive overview of the recent progresses in the synthesis and application of phthalocyanine-based heterogeneous electrocatalysts, as well as the structure/composition–catalytic activity relationship, and future prospects.


2018 ◽  
Vol 5 (9) ◽  
pp. 557-561
Author(s):  
Santosh Kumar Swain ◽  
Alok Das ◽  
Ishwar Chandra Behera ◽  
Biplob Bhattacharyya

Tracheostomy is a surgical procedure which has been performed since ancient time. Tracheostomy is a life-saving surgical procedure done among critically sick patients. Children with airway compromise often require tracheostomy. The indication of the tracheostomy among children ranges from airway obstruction to prolonged mechanical ventilator support. There are numerous research papers published for adult tracheostomy with its indications, operative technique, and complications, but the literature on pediatric tracheostomy is scarce. Advanced technique of pediatric anesthesia and increased awareness for vaccination for serious diseases such as polio, measles, diphtheria, tetanus, and Haemophilus influenzae type b (Hib) among children increased the changing indication for tracheostomy from emergency to more elective procedure. Standardization of the procedure, timing, and exact indications is helping to reduce the mortality related to the tracheostomy among the pediatric patients. Here, we attempt to discuss the indications, techniques, selection of the tracheostomy tube complications, and outcome of the tracheostomy among pediatric patients.


2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Muhammad Hassan Abbas ◽  
Kamran Ali ◽  
Mahbood Bari ◽  
Ahmad W ◽  
Anwer M ◽  
...  

Objective: To study the results after forming the controlled enterocutaneous fistula in the patient of abdominal tuberculosis with matted and perforated small bowel. Design, place and duration of study This study based on therapeutic trial and conducted in one and half years from january1999 to june2001 at Mayo Hospital, Lahore. Patients and methods: All these 20 patients either operated in emergency or on elective list were malnourished, toxic and their operative findings were almost the same , these patients had extensively matted, friable and perforated gut. In these patients it was technically not possible to perform some definite procedure like right haemecolectomy or ileostomy with out increasing the morbidity or mortality. Under these circumstances, minimal surgical procedure which can be life saving is to oppose the anterior abdominal wall to the perforation and thus create a controlled enterocutaneous fistula. In 11 patients fistula closed on its own and in eight patients fistula remained patient and needed re-exploration and repair. Conclusion: This new method of treatment has yielded excellent results. We were able to cure the disease with no mortality. It is recommended that in cases of TB peritonitis with perforation and matted gut making of a controlled enterocutaneous fistula saves the life of the patient.


This new textbook provides a comprehensive overview of the scientific and clinical aspects of rheumatoid arthritis (RA). Split into eight sections—history, diagnosis, and epidemiology; pathogenesis; clinical presentation; disease assessment; impact on life; non-drug treatments; drug treatments; and management and outcomes—it collects the contemporary ideas about RA and explains the revolutionary changes that have taken place over the past two decades, and indicates areas of future research. Witten by leading clinicians and scientists in the field, each chapter gives a detailed background, key recent advances, areas of doubt, and future directions of research.


Author(s):  
Ekpe E. E. ◽  
Uduma F. ◽  
Umoh V. ◽  
Ikpe M. C. ◽  
Eyo S. C. ◽  
...  

Background: Pleural drainage is a life-saving procedure that is commonly performed to evacuate pleural collection of air or liquid from traumatic or non-traumatic causes. The pleural tube drain is commonly connected to underwater seal bottle thereby limiting the movement of the patients with attendant risks of immobilisation. There are reports of pleural drainages utilising small bore pleural drains attached to drainage bag and asserted to be as effective as large bore thoracic catheter connected to underwater seal bottle. In addition to the reported effectiveness of small bore ambulatory pleural drainage, the risks of prolonged immobilisation are mitigated, and there is saving of costs. Literature search has not revealed any comparison of the two pleural drainage systems in Nigeria, hence this index study. Objective: To compare the pleural drainage characteristics of small bore pleural drains attached to drainage bag with those of large bore thoracic catheters connected to underwater seal bottle in the management pneumothorax and haemothorax. Results: Among patients with pneumothorax, 66.7% of conventional group and 100% of small bore group regained normal respiratory rate before removal o pleural drain, although at 30 days post drainage check all n the two groups were normal. Using oxygen saturation (SpO2), conventional drainage system was initially better (66.7% vs 25% p<0.0001), later inferior (83.3% vs 100%), and finally same at follow-up (100% vs 100%). Lung re-expansion was also initially better in the conventional drainage group at 30 minutes following commencement of pleural drainage than in the small bore pleural drain group (66.7% vs 50.0%), but afterward became complete in all patients in the two groups before removal of pleural drain and at 30 days follow up. Duration of pleural drainage and length of hospitalisation were shorter in more patients in the small bore group than in the large bore group (p=0.571). In the patients with haemothorax, there was no statistically significant difference in any outcome measure among the groups. Conclusion: The use of small bore pleural drains was as equally effective as the use of large bore chest tubes in the management of pneumothorax and haemothorax.


Synthesis ◽  
2021 ◽  
Author(s):  
sefa ucar ◽  
Arif Dastan

Transition-metal-free arylation reactions have attracted considerable attention, because of economic and environmental reasons over the past 40 years. In recent years, in particular, many efforts have been made to develop efficient transition-metal-free approaches for the arylation of heteroarenes. Covering the literature from 2015 to early 2021, this review aims to provide a comprehensive overview of the synthetic and mechanistic aspects of these atom economical and environmentally harmless reactions. 1 Introduction 2 Arylation of Pre-functionalized Heteroarenes 3 Direct C-H Arylation of Heteroarenes 3.1 C(Sp2)-H Arylation 3.2 C(sp3)-H Arylation 4 N-Arylation of Heteroarenes 5 Summary and Outlook


2019 ◽  
Vol 7 (16) ◽  
pp. 2588-2607 ◽  
Author(s):  
Ruxin Zhou ◽  
Shuang Zhu ◽  
Linji Gong ◽  
Yanyan Fu ◽  
Zhanjun Gu ◽  
...  

A comprehensive overview of the development of stimuli-responsive TMDC-based nanoplatforms for “smart” cancer therapy is presented to demonstrate a more intelligent and better controllable therapeutic strategy.


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