Anterior pneumothorax chest tubes. Medical search. Frequent questions

Sound and Air: Ultrasonographic Measurements of Pediatric Chest Wall Thickness and Implications for Needle Decompression of Tension Pneumothorax. (harvard.edu)
Although there is a low chance to have a tension pneumothorax in spontaneous pneumothorax, this can be the worst case scenario for those patients. (iem-student.org)
Hypotension (think tension pneumothorax! (iem-student.org)
Principals of surgical management of specific thoracic injuries like: tension pneumothorax, open pneumothorax, massive haemothorax, flail chest, cardiac injuries, ruptures of the aorta, tracheobronchial tree lesions, oesophageal and diaphragmatic injuries have been reviewed. (edu.pl)
Rapid decompression of tension pneumothorax and emergency thoracotomy, especially in patients following penetrating thoracic trauma may result in good outcomes. (edu.pl)
Tension pneumothorax, the accumulation of air in the chest under positive pressure, is a life-threatening condition that leads to hemodynamic instability and requires immediate decompression by a needle or a chest tube. (basicmedicalkey.com)
Pneumothorax (Tension) Tension pneumothorax is accumulation of air in the pleural space under pressure, compressing the lungs and decreasing venous return to the heart. (msdmanuals.com)
If the pleural leak exerts a one-way valve effect then a tension pneumothorax can develop. (rcemlearning.co.uk)
Tension pneumothorax - time to change the old mantra? (litfl.com)
Following the recent LITFL blog demonstrating a CT of a tension pneumothorax , we review some of the controversies in managing this much-maligned medical emergency. (litfl.com)
Tension pneumothorax describes the progressive accumulation of air in the pleural cavity (normally a potential space) through a defect in the visceral pleura. (litfl.com)
In treating a tension pneumothorax, we have traditionally been taught to place a large bore catheter in the second intercostal place (2nd ICS) mid-clavicular line, and this method is still advocated in ATLS guidelines. (litfl.com)
Management Questions: This looks like left tension pneumothorax. (hawaii.edu)
Before needling the chest (2nd intercostal space, midclavicular line with an 18 or 20G catheter over the needle) review the evidence for a tension pneumothorax. (hawaii.edu)
Is this consistent with a tension pneumothorax? (hawaii.edu)
Yes, infants with tension pneumothorax rarely have unequal breath sounds. (hawaii.edu)
No, the hallmark of tension pneumothorax is persistent hypoxia (despite supplemental oxygen) with circulatory compromise (hypotension and/or bradycardia). (hawaii.edu)
What at first appears to be a tension pneumothorax may instead be severe emphysema of one or more lobes of the lung. (hawaii.edu)
Tension Pneumothorax buildup of air under pressure in the pleural space resulting in interference with filling of both the heart and lungs. (lifenurses.com)
Treatment is conservative for spontaneous pneumothorax in which no signs of increased pleural pressure appear (indicating tension Pneumothorax), lung collapse is less than 30%, and the patient shows no signs of Dyspnea or other indications of physiologic compromise. (lifenurses.com)
Tension Pneumothorax Immediate decompression to prevent cardiovascular collapse by thoracentesis or chest tube insertion to let air escape. (lifenurses.com)
Definitive treatment of a tension pneumothorax (after needle decompression). (mhmedical.com)

Safety of the anterior approach versus the lateral approach for chest tube insertion by residents treating spontaneous pneumothorax: a propensity score weighted analysis. (harvard.edu)
There are two types of spontaneous pneumothorax 1) primary, and 2) secondary. (iem-student.org)
MacDuff A, Arnold A, Harvey J Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010 Thorax 2010;65:ii18-ii31. (iem-student.org)
Therefore, similar to treating primary spontaneous pneumothorax, if I am going to intervene (which is much more likely in secondary pneumothorax) I tend to put in a percutaneous drain. (otago.ac.nz)
Primary spontaneous pneumothorax occurs without predisposing factors or significant lung disease, and the male sex and smoking are risk factors. (basicmedicalkey.com)
Does needle aspiration for spontaneous pneumothorax reduce hospital length-of-stay compared to chest tube drainage? (beem.ca)
Spontaneous Pneumothorax: Stand There and Do Nothing? (rebelem.com)
Spontaneous Pneumothorax sudden onset of air in the pleural space with deflation of the affected lung in the absence of trauma. (lifenurses.com)
Surgical interventions include removing the penetrating object, exploratory thoracotomy if necessary, thoracentesis, and thoracotomy for patients with two or more episodes of spontaneous pneumothorax or patients with pneumothorax that does not resolve within 1 week. (lifenurses.com)
Surgical intervention by pleurodesis or thoracotomy with resection of apical blebs is advised for patients with recurrent spontaneous pneumothorax. (lifenurses.com)
The development of spontaneous hemothorax can result from thoracic malignancies, primary vascular events, coagulopathy, spontaneous pneumothorax and a variety of infectious diseases. (crashingpatient.com)

At least, today, the algorithms are still designed to the size of the pneumothorax. (iem-student.org)
How to estimate the size of the pneumothorax? (iem-student.org)
The symptoms do not correlate closely with the size of the pneumothorax [12]. (rcemlearning.co.uk)
The symptoms will vary depending on the cause e.g. fever, weight loss, night sweats but the primary complaint is that of breathlessness which is often out of proportion to the size of the pneumothorax radiologically. (rcemlearning.co.uk)
Unlike symptoms, the examination findings in primary spontaneous pneumothoraces are affected by the size of the pneumothorax. (rcemlearning.co.uk)

There is some evidence that decompression in the midaxillary line, 2nd intercostal space often fails with standard cannulas due to chest wall thickness and that the anterior/midaxillary line, 5th intercostal space may be more reliable. (otago.ac.nz)
These injuries usually require immediate interventions such as intubation, needle decompression, tube thoracostomy, or pericardiocentesis. (saem.org)
It is widely accepted that chest drains for definitive management are placed in the 5th ICS mid axillary line so why not opt for this site for emergency decompression? (litfl.com)

Open Pneumothorax (sucking wound of chest) implies an opening in the chest wall large enough to allow air to pass freely in and out of thoracic cavity with each attempted respiration. (lifenurses.com)

Albert likely presented with a traumatic pneumothorax on the left side with complaints of dyspnea, chest pain, and decreased breath sounds on the left side. (bartleby.com)
Traumatic pneumothorax occurs with blunt or penetrating trauma to the chest. (basicmedicalkey.com)
Traumatic pneumothorax is air in the pleural space resulting from trauma and causing partial or complete lung collapse. (msdmanuals.com)
Traumatic Pneumothorax may result from insertion of a central venous line, thoracic surgery, or a penetrating chest injury, such as a gunshot or knife wound, or it may follow a transbronchial biopsy. (lifenurses.com)
When traumatic Pneumothorax follows a penetrating chest injury, hemothorax (blood in the pleural space) may also occur. (lifenurses.com)

Thoracotomy is a surgical procedure to open the chest and visualize the organs inside the thoracic cavity. (icliniq.com)
Thoracotomy is a surgical technique to open the chest cavity. (icliniq.com)
Thoracotomy - It is a procedure in which an incision is made to gain access to the chest cavity. (icliniq.com)
Anterolateral Thoracotomy - This procedure is performed over the anterior chest wall. (icliniq.com)
Unstable chest trauma patients can also deteriorate to the point of traumatic arrest and depending on the mechanism of chest trauma, may be candidates for an emergent ED thoracotomy. (saem.org)
If this patient's emphysema becomes life-threatening (which may happen rapidly if positive pressure is applied) the only treatment would be a lateral thoracotomy to allow the lung to herniate out of the chest. (hawaii.edu)
Thoracotomy is defined as a surgical incision into the chest. (radiologykey.com)
In posterolateral thoracotomy a large transverse incision along the lateral aspect of the chest via the fifth intercostal space transects the latissimus dorsi. (radiologykey.com)
In axillary thoracotomy or mini-thoracotomy, a linear incision from the anterior axillary line inferomedially to the midhemithorax avoids the division of several muscles, most importantly the latissimus dorsi. (radiologykey.com)
In anterior or anterolateral thoracotomy the incision starts at the midaxillary line and follows the inframammary fold to terminate in the parasternal location. (radiologykey.com)
In limited anterior thoracotomy the incision length is restricted generally to less than 10 cm. (radiologykey.com)
an anterior thoracotomy is commonly used for open-lung biopsies and in some esophageal surgeries. (radiologykey.com)

Needle aspiration versus intercostal tube drainage for pneumothorax in the newborn. (lu.se)
Chest tube (24 French) with drainage holes. (basicmedicalkey.com)
For pleural effusion, the drainage volume should be less than 200 mL in 24 hours to consider removal of the tube. (basicmedicalkey.com)
More viscous fluid like blood or pus requires a larger tube for appropriate drainage. (rebelem.com)
He was immediately taken to the Operating Room (OR), where an emergency repair of a large right lung hernia with a right pectoralis major muscle flap, open-reduction and internal fixation of multiple right-sided rib fractures, and drainage of the right pleural effusion was done, followed by chest tube placement. (jpgmonline.com)
Observe and allow for spontaneous resolution for less than 50% pneumothorax in otherwise healthy person, Needle aspiration or chest tube drainage may be necessary to achieve reexpansion of collapsed lung if greater than 30% pneumothorax. (lifenurses.com)
Pleurevac or other drainage system, including all connectors necessary to connect to chest tube and to suction. (mhmedical.com)
In this report we are describing a case of iatrogenic massive pleural effusion following subclavian vein catheterization necessitating intercostal tube drainage and mechanical ventilation. (biomedcentral.com)

Sudden pleuritic chest pain. (iem-student.org)
The classic presentation is that of sudden onset of pleuritic chest pain and dyspnoea at rest. (rcemlearning.co.uk)

Are Pigtail catheters as safe and effective as chest tubes for the initial treatment of pneumothorax? (beem.ca)
Noninvasive treatment of pneumothorax with oxygen inhalation. (crashingpatient.com)

used in the treatment of pleural effusion, pneumothorax, hemothorax and empyema. (harvard.edu)
Indications for chest tube insertion count pneumothorax, pleural effusion, empyema, haemothorax, chyle leak to the pleural cavity and postsurgical(1). (csurgeries.com)

Hemothorax and pneumothorax are the two most likely complications in the case presented above. (nejm.org)
While the injury resulting in hemothorax and pneumothorax occurs during line placement, it usually takes some time for the patient to clinically deteriorate from these complications. (nejm.org)

Observing pneumothoraces: The 35-millimeter rule is safe for both blunt and penetrating chest trauma. (harvard.edu)
Penetrating trauma may cause pneumothorax or haemothorax with massive blood loss. (edu.pl)
Some patients after chest trauma deteriorate rapidly. (edu.pl)
Hemothorax results from blunt or penetrating trauma to the chest wall or after a fall. (basicmedicalkey.com)
How accurate is chest ultrasonography for the diagnosis of pneumothorax and hemothorax in adult trauma patients? (beem.ca)
In patients with penetrating wounds that traverse the mediastinum (eg, wounds medial to the nipples or to the scapulae), or with severe blunt trauma, pneumothorax may be caused by disruption of the tracheobronchial tree. (msdmanuals.com)
Ultrasonography (done at the bedside during initial resuscitation, Extended Focused Assessment With Sonography in Trauma [E-FAST]) and CT are more sensitive for small pneumothoraces than chest x-ray. (msdmanuals.com)
Pneumothorax can occur spontaneously or result from trauma or medical procedures. (msdmanuals.com)
Chest tube s/p chest trauma - recommendation for antibiotics. (rebelem.com)
Diagnose, resuscitate, stabilize and manage chest trauma patients. (saem.org)
Identify common pathophysiologic conditions occurring in chest trauma patients. (saem.org)
Describe the components of a primary survey in a chest trauma patient. (saem.org)
List commonly utilized imaging modalities in chest trauma. (saem.org)
Discuss the eventual disposition of chest trauma patients based on their diagnosis. (saem.org)
Appreciate the necessity for emergent surgical intervention in certain chest trauma conditions. (saem.org)
Chest trauma accounts for approximately 25% of mortality in trauma patients.1,2 This rate is much higher in patients with polytraumatic injuries. (saem.org)
85-90% of chest trauma patients can be rapidly stabilized and resuscitated by a handful of critical procedures. (saem.org)
For this reason, emergency medicine providers should be prepared to appropriately evaluate, resuscitate and stabilize any patient with chest trauma. (saem.org)
In patients who are awake and lucid, the chest trauma may present with chest pain, dyspnea, back or abdominal pain, and occasionally syncope. (saem.org)
Unstable chest trauma patients may show signs of severe respiratory distress or profound shock requiring emergent resuscitation. (saem.org)
There is considerable overlap amongst the various traumatic disorders experienced in both penetrating and blunt chest trauma. (saem.org)
However, in comparison to penetrating trauma, blunt chest trauma patients may have a more subtle presentation with less obvious physical exam findings. (saem.org)
Chest trauma patients can present to the ED via Emergency Medical Services (EMS), often placed on a backboard and in a cervical collar. (saem.org)
By definition, spontaneous pneumothoraces occur in the absence of any trauma (including iatrogenic causes) to the chest wall. (rcemlearning.co.uk)
Here is your ATMIST handover in resus: 28 year old male, injured 25 minutes ago, penetrating chest trauma, Asherman seal on anterior chest, RR 35, clearly deteriorating, high flow O2 administered. (litfl.com)
Remember, the trauma population is generally younger and male predominant, so some of the published studies on chest wall thickness may not be so relevant (particularly the cadaver studies: its too late by then! (litfl.com)
Anterior lung herniation accounts for the most herniations post blunt trauma to the chest, especially seat belt-associated injury. (jpgmonline.com)
In patients with chest trauma, it is usually the result of a laceration to the lung parenchyma, tracheobronchial tree, or esophagus. (lifenurses.com)
Thoracic trauma and many pleural diseases are commonly treated with tube thoracostomy. (nigerianjsurg.com)
CT of blunt chest trauma. (docksci.com)

The use of anterior approaches for spinal fusion for the treatment of adolescent idiopathic scoliosis (AIS) has been debated because of the concern that pulmonary function is compromised with procedures that violate the chest wall. (vermaspine.com)
11 - 15 Potential explanations for the initial decline in pulmonary function include increases in chest cage stiffness, reduced diaphragmatic movement on the affected side, nonunion, and uneven air distribution. (vermaspine.com)
In adolescents, pulmonary function may improve after surgical correction of the spinal deformity and indirect improvement of chest wall dimensions and mechanics. (vermaspine.com)
A simple unilateral pneumothorax, even when large, is well tolerated by most patients unless they have significant underlying pulmonary disease. (msdmanuals.com)

The rationale for using 2 cm as the cut-off for indicating a large pneumothorax is that this approximates to the point at which up to half of the lung volume has been lost. (rcemlearning.co.uk)

Auscultation may not appreciate the difference in small pneumothorax, especially in a busy and noisy ED environment. (iem-student.org)
A small pneumothorax can be impossible to identify on clinical examination. (rcemlearning.co.uk)

The sound of air escaping the chest cavity will confirm the puncture. (csurgeries.com)
There is a large puncture wound to the right, upper anterior chest. (saem.org)

It may be treated with either needle aspiration or insertion of a chest tube. (lu.se)
Needle aspiration is likely to fail to resolve the pneumothorax with complete lung collapse and tends to fail about ⅓ of the time anyway. (otago.ac.nz)
OBJECTIVE: Quantify the outcomes following pneumothorax aspiration and influence upon chest drain insertion. (bvsalud.org)
METHODS: This was a retrospective cohort study of patients who underwent aspiration for the treatment of a pneumothorax following a CT percutaneous transthoracic lung biopsy (CT-PTLB) from January 1, 2010 to October 1, 2020 at a tertiary center. (bvsalud.org)
RESULTS: A total of 102 patients underwent aspiration for a pneumothorax following CT-PTLB. (bvsalud.org)
Overall, 81 patients (79.4%) had a successful pneumothorax aspiration and were discharged home on the same day. (bvsalud.org)
In 21 patients (20.6%), the pneumothorax continued to increase post-aspiration and required chest drain insertion with hospital admission. (bvsalud.org)
At that time aspiration from the central venous catheter revealed the same clear fluid as that was drawn from the intercostal tube raising the suspicion of the intrapleural position of the venous catheter. (biomedcentral.com)

Although both anterior and posterior spinal approaches have been indicated for the surgical correction of AIS and have comparable clinical and radiographic outcomes, each approach has advantages. (vermaspine.com)
Although posterior approaches have the advantage of being familiar and minimally disrupt the chest cage, anterior and video assisted thoracoscopic surgical release (VATS) procedures offer clinical benefi ts for patients with AIS. (vermaspine.com)
It is a surgical procedure in which an incision is made between the ribs on either side of the chest, and the structures in the thoracic cavity are accessed. (icliniq.com)
This video illustrates the surgical insertion of a chest tube in a patient suffering from hydro-pneumothorax. (csurgeries.com)
Chest tube insertion is a basic surgical procedure, often conducted by residential surgeons. (csurgeries.com)
Introduction: Insertion of a chest tube is a common surgical procedure within clinical practice. (csurgeries.com)
[4] On account of the potential complications, including risk of strangulation of the herniated parenchyma, incarceration, and risk of pneumothorax with the use of mechanical ventilation with positive end-expiratory pressure, surgical intervention may be chosen in appropriate patients, especially those symptomatic, with intractable pain, dyspnea, incarceration or ongoing effusion. (jpgmonline.com)
Chest tube insertion is a simple and sometimes life-saving procedure performed mainly by surgical residents. (nigerianjsurg.com)
Superficial surgical site infection, tube dislodgement, and tube blockage were the most common complications. (nigerianjsurg.com)
Video-assisted thoracoscopic surgery (VATS) consists of the use of a fiberoptic camera and surgical instruments placed via three to five intercostal incisions along the anterior and posterior axillary lines. (radiologykey.com)
Omental flaps are usually brought to the thorax in the retrosternal location via a surgical defect in the anterior diaphragm. (radiologykey.com)

In the case of recurrent effusions, chest tubes may be used to instill sclerosing agents into the pleural space to induce pleurodesis. (basicmedicalkey.com)

Compared with endotracheal tubes (ETTs), tracheostomy reduces resistive and elastic work of breathing, with resulting reduction in airway resistance and intrinsic PEEP. (rcjournal.com)

When an exposure is made, X-ray radiation exits the tube as what is known as the primary beam. (wikipedia.org)
If the pneumothorax is made clinically or radiologically, then the types should be confirmed as spontaneous, traumatic, primary, secondary or tension etc. (iem-student.org)
Evidence here is changing, it seems there has been some local work which is yet to be published, but the results favour more conservative management of primary pneumothorax in most instances. (otago.ac.nz)
The symptoms are often more severe than those associated with a primary pneumothorax because lung function may already have been compromised by the underlying pathological process. (rcemlearning.co.uk)

Symptoms include chest pain from the causative injury and sometimes dyspnea. (msdmanuals.com)
Lung herniation should be considered whenever a patient has a bulging mass in the anterior thorax, intractable pain at the site of a potential fracture, ongoing dyspnea with no definite etiology, subcutaneous emphysema, suspicious (especially bloody) pleural effusions or pneumothorax after CPR. (jpgmonline.com)

The area for insertion is determined by locating the fourth to fifth intercostal space in the anterior axillary line at the level of the nipple. (basicmedicalkey.com)
This incision starts at the anterior axillary line, continues posteriorly beneath the tip of the scapula, and then extends caudally to terminate between the spine and the medial border of the scapula. (radiologykey.com)
The fifth or sixth intercostals space in the anterior axillary line is the target for numbing the area. (mhmedical.com)

Chest-tube insertion can cause complications, such as bleeding, pain, damage to internal organs, so it is important for the nurse to anticipate complications and assess the patient's tolerance and response to insertion. (bartleby.com)
Having considered the possible complications and narrowed them down, the learner should now be focused on distinguishing between the two most likely complications in this case - pneumothorax and hemothorax - and then determining the best intervention. (nejm.org)
1 in 5 patients requiring a chest tube will suffer complications - many are iatrogenic in nature. (rebelem.com)
Complications to chest tube insertion such as misplacement, damage to the intercostal neurovascular bundle, and organ injury have been described(2). (csurgeries.com)
The patient received a surgically inserted chest tube, and in this procedure, a safe and standardized placement is crucial to minimize the risk of complications to an otherwise common and simple procedure. (csurgeries.com)
However, tube thoracostomy is not without its own complications. (nigerianjsurg.com)
What are the complications of chest drains? (theguidewire.net)

This CXR shows hyperlucency of the left chest with a mediastinal/cardiac shift to the right. (hawaii.edu)

Air from the pneumothorax may enter the soft tissues of the chest and/or neck (subcutaneous emphysema), or mediastinum (pneumomediastinum). (msdmanuals.com)
Lung parenchymal hernias may appear as loculated subcutaneous air pockets on the chest X-ray, however, CT is the preferred modality to identify the hernia. (jpgmonline.com)

Anticipate patients with CT to receive frequent X-rays and to check placement of the tube after transporting or moving to make sure the tube did not migrate from insertion. (bartleby.com)
Iatrogenic pneumothorax occurs most commonly due to central line placement. (basicmedicalkey.com)
For most clinicians, the greatest concern during CVC placement is the possibility of causing a pneumothorax. (nejm.org)

Patients with chest tubes require extra nursing assessments, care, and monitoring. (bartleby.com)
How accurate is computed tomography in the diagnosis of intra-abdominal injuries in stable patients with anterior abdominal stab wounds? (beem.ca)
American College of Chest Physicians (ACCP) recommends stable patients with pneumothorax get small bore and the unstable patient gets a small to moderate-sized chest tube. (rebelem.com)
Sir, Chest compressions during cardiopulmonary resuscitation (CPR) can be traumatic to patients resulting in rib / sternum fractures. (jpgmonline.com)
[2] Most patients with lung herniation remain asymptomatic and a soft, reducible bulging mass may be noted in the chest wall or the neck that changes in size with the respiratory cycle, coughing, or straining. (jpgmonline.com)
Chest imaging in patients with acute respiratory failure plays an important role in diagnosing, monitoring and assessing the underlying disease. (ersjournals.com)
The purpose of the present European Respiratory Society (ERS) statement is to provide physicians with a comprehensive clinical review of chest imaging techniques for the assessment of patients with acute respiratory failure, based on the scientific evidence as identified by systematic searches. (ersjournals.com)
These chest imaging techniques allow a better assessment and understanding of the pathogenesis and pathophysiology of patients with acute respiratory failure, but have different indications and can provide additional information to each other. (ersjournals.com)
A variety of chest imaging techniques are now available for assessing patients with acute respiratory failure. (ersjournals.com)
Patients with acute respiratory failure require one or several imaging studies of the chest to diagnose underlying diseases, assess progression and evaluate treatment efficacy. (ersjournals.com)
Younger patients may need sedation or anesthesia for procedure, especially with large bore chest tube insertion. (mhmedical.com)

Treatment of most pneumothoraces is with insertion of a thoracostomy tube (eg, 28 Fr) into the 5th or 6th intercostal space anterior to the midaxillary line. (msdmanuals.com)
If more than 30% of the lung is collapsed, treatment to reexpand the lung includes placing a thoracostomy tube in the second or third intercostal space in the midclavicular line, connected to an underwater seal or low-pressure suction. (lifenurses.com)

A 26-year-old male, with no significant medical history, presented to the emergency department with acute shortness of breath and associated right-sided chest pain. (iem-student.org)
Reduced breath sound on the affected side is more obvious with the increased size of pneumothorax (moderate or severe). (iem-student.org)
Physical examination reveals tracheal deviation to the right, absent breath sounds over the left chest, and dullness to percussion over the anterior and posterior left chest. (nejm.org)
A 21-year-old male presents to the ED by ambulance with complaints of chest pain and shortness of breath that began after he was involved in an altercation outside of a gas station. (saem.org)
Breath sounds are faint throughout the chest, without auscultatory rales, wheezes, or stridor heard. (hawaii.edu)
Breath sounds were described as faint throughout the chest rather than unequal. (hawaii.edu)
The intrathoracic volume of the infant's chest is so small and the mediastinum is so mobile that decreased ventilation due to free air compressing both lungs usually results in distant or faint breath sounds and decreased chest movement bilaterally, rather than the differential findings between the two sides seen in adults. (hawaii.edu)

Thoracostomy - It is a procedure in which a tube is placed in the pleural space to drain fluid, blood, or air from the space around the lungs. (icliniq.com)
Indications: Indications for a chest tube insertion include air (pneumothorax) or fluid (hydro-, chylo-, pyo- or hemothorax) in the pleural cavity. (csurgeries.com)
Pre-operative workup: The patient's chest X-ray showed a clear apical and lateral loosening of the right lung along with a small amount of pleural effusion and a well-defined air-fluid surface. (csurgeries.com)
A 28- French intercostal tube connected to underwater seal was then inserted followed by gradual withdrawal of the pleural fluid which was continuously clear till 3 liters were withdrawn over several hours. (biomedcentral.com)

its position is verified by a portable chest radiograph. (nejm.org)
The most useful investigation is the PA chest radiograph despite the fact that it tends to under-estimate the size of a pneumothorax by virtue of it being a 2-dimensional image of a 3-dimensional structure. (rcemlearning.co.uk)
A chest radiograph is obtained. (hawaii.edu)
Revealing a normal anteroposterior chest radiograph before subclavian catheterization (panel A) . chest X-ray performed after catheterization revealing massive left sided pleural effusion with mediastinal shift to the left side. (biomedcentral.com)
Bedside anteroposterior chest radiograph was performed as shown in figure 1 panel B, which revealed the presence of massive right side pleural effusion and mediastinal shift to the left. (biomedcentral.com)

Heart and lung sounds: 6 anterior and 4 posterior lung sound speakers and 4 heart sound speakers allowing for sounds to be heard in appropriate places. (cpr-savers.com)
If the platysma is violated, determine whether the wound lies anterior (anterior triangle) or posterior (posterior triangle) to the sternocleidomastoid muscle, and determine in what zone the injury is found. (medscape.com)
The anterior portion helps with semantics, or word meaning, while the posterior is associated with phonology, or how words sound. (passmed.uk)
The anterior border of the pleura extends downward from the cupola, passing posterior to the sternoclavicular joint, then to the middle of the sternal angle, and next to approximately the level of the xiphisternal joint. (dartmouth.edu)

When we diagnosed pneumothorax, the patient symptoms are the driven factor for the treatment options. (iem-student.org)
This is very important "red flag" for a pneumothorax patient. (iem-student.org)
The size of the tube usually depends on the indication for the procedure (pneumothorax vs. effusion), the effusion characteristics (transudate vs. exudate), and patient condition. (basicmedicalkey.com)
Following lung resection or other thoracic procedures, a chest tube that was placed in the OR may remain with the patient when being transferred to the medical ward. (basicmedicalkey.com)
Patient, lesion and procedural factors associated with chest drain insertion were assessed with univariate and multivariate analyses. (bvsalud.org)
Pneumothorax can result in tension physiology as well - though the hemodynamic compromise from this, when a patient is on mechanical ventilation, is usually quicker than with hemothorax. (nejm.org)
Several chest tubes failed to treat the hydro-pneumothorax in a regional hospital setting before the patient was transferred to our department of cardiothoracic surgery. (csurgeries.com)
The patient states that he was stabbed on the right side of his chest with an unknown object. (saem.org)
The fact that this patient did not have impaired perfusion should make you refrain from needling the chest and examine the CXR more carefully. (hawaii.edu)
Do you need to give the patient antibiotics before placing a chest tube? (theguidewire.net)

A pneumothorax is a collection of gas in the pleural space that results in a variable amount of lung collapse on the affected side. (rcemlearning.co.uk)

Indications for a chest tube include pneumothorax, hemothorax, and pleural effusions. (basicmedicalkey.com)
What are the indications for a chest drain? (theguidewire.net)

Pneumothorax after lung resection may develop from a persistent air leak or a bronchopleural fistula that does not resolve. (basicmedicalkey.com)

These conditions have different etiology, and in acute situations insertion of a chest tube can be lifesaving. (csurgeries.com)

The procedure to place the chest tube is called tube thoracostomy. (basicmedicalkey.com)
Pneumothorax developed in 19.5% and hemothorax in 1% after the procedure. (bvsalud.org)
Insertion of a chest tube is a common procedure. (csurgeries.com)
Chest tube insertion is a common procedure and a basic core skill in an acute hospital setting. (csurgeries.com)

Iatrogenic - insertional complication if tube placed into adjacent structure. (rebelem.com)

For a pneumothorax, the tube can be removed once bubbling (air leak) ceases and the lung is fully expanded on chest X-ray. (basicmedicalkey.com)
Twenty-six respondents (32.1%) always monitored air leak before removal of tubes in cases of pneumothorax. (nigerianjsurg.com)

Immediately upon insertion Albert's respiratory status improved and there was scant blood draining in the tube. (bartleby.com)

Needle or tube thoracostomy can be necessary immediately on the bedside. (iem-student.org)
On the bedside, this can be done with Chest x-ray. (iem-student.org)
Most chest tube insertions are completed at bedside. (basicmedicalkey.com)

The tube is then directed vertically in case for pneumothorax or basally for effusion. (basicmedicalkey.com)

Pneumothorax occurs more frequently in the neonatal period than at any other time of life and is associated with increased mortality and morbidity. (lu.se)

Moreover, by preserving your first rib, we also minimize, if not completely exclude, the possibility of pneumothorax (punctured lung), which would mandate insertion of a chest tube and prolonged hospitalization if it were to occur during rib resection. (drducicplasticsurgery.com)
The video shows the identification of the anatomical structures that create the safe triangle, and a safe insertion of a chest tube into the pleural cavity. (csurgeries.com)

Diagnosis is made by chest x-ray. (msdmanuals.com)

Normal oxygen saturation does not rule out pneumothorax. (iem-student.org)

This is referred to as the triangle of safety, which is the triangle between the apex of the axilla, the anterior margin of the latissimus dorsi, and lateral margin of the pectoralis major at the level of the nipple. (basicmedicalkey.com)

If your are draining the pneumothorax, short of treating hypoxia there is no point. (otago.ac.nz)

Anatomy9

Diseases36

Chemicals and Drugs2

Analytical, Diagnostic and Therapeutic Techniques and Equipment30

Phenomena and Processes1

Health Care6

Tension Pneumothorax22

Spontaneous pneumothorax11

Size of the pneumothorax5

Decompression3

Open pneumothorax1

Traumatic pneumothorax5

Thoracotomy12

Drainage8

Pleuritic ches2

Treatment of pneumothorax2

Empyema2

Hemothorax and pneumothorax2

Trauma30

Pulmonary4

Large pneumothorax1

Small pneumothorax2

Puncture2

Aspiration8

Surgical11

Recurrent1

Airway1

Primary4

Dyspnea2

Axillary line3

Complications7

Cardiac1

Subcutaneous2

Placement3

Patients11

Thoracostomy tube2

Breath7

Fluid4

Radiograph5

Posterior4

Patient10

Lung collapse1

Indications2

Persistent1

Etiology1

Procedure4

Iatrogenic1

Leak2

Respiratory1

Bedside3

Basally1

Occurs1

Insertion of a chest tube2

Diagnosis1

Oxygen1

Lateral1

Hypoxia1