*  Hemothorax after chest tube insertion for pneumothorax as a complication of clopidogrel
|p|Hemorrhagic complications are recognized when anti-platelet agents are used during or after surgical procedures. We present a 69-year-old male patient who developed hemothorax after chest tube insertion for pneumothorax as a complication of clopidogrel and aspirin following ischemic heart disease. Hemothorax associated clopidogrel has rarely been reported and this is the first academic publication of this complication type following chest tube insertion shortly after the cessation of clopidogrel. Our case demonstrates the possibility of hemothorax when chest tube insertion is indicated under such conditions.|/p|
*  Hemothorax | zdrav.kz
The goal of treatment is to get the patient stable, stop the bleeding, and remove the blood and air in the pleural space. A chest tube is inserted through the chest wall to drain the blood and air. It is left in place for several days to re-expand the lung.. When a hemothorax is severe and a chest tube alone does not control the bleeding, surgery (thoracotomy) may be needed to stop the bleeding.. The cause of the hemothorax should be also treated. In people who have had an injury, chest tube drainage is often all that is needed. Surgery is often not needed.. Outlook (Prognosis). The outcome depends on the cause of the hemothorax and how quickly treatment is given.. Possible Complications. ...
*  Retained Hemothorax Part 3: VATS | The Trauma Pro
I've written about the use of lytics to treat retained hemothorax over the past few days. Although it sounds like a good idea, we just don't know that it works very well. And they certainly don't work fast. Lengths of stay were on the order of two weeks in both studies reviewed.. The alternative is video assisted thoracoscopic surgery (VATS). So let's take a look at what we know about it. This procedure is basically laparoscopy of the chest. A camera is inserted, and other ports are added to allow insertion of instruments to suck, peel, and scrape out the hemothorax.. ...
*  Bilateral heterochronic spontaneous hemothorax caused by pulmonary arteriovenous malformation in a gravid: A case report
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
*  What is the difference between pneumothorax and hemothorax? | Reference.com
According to WebMD, pneumothorax is a collection of air in the area between the lung and the chest wall, also known as the pleural space. Medline Plus defines a hemothorax as a collection of blood in...
*  Treatment of hemothorax with hematoma disposal: Costs for treatment #146743 in Germany | BookingHealth
Treatment of hemothorax with hematoma disposal (costs for program #146743) ✔ University Hospital of the Ludwig-Maximilians-University Munich ✔ Department of Pediatric Surgery ✔ BookingHealth.com
*  hemothorax (traumatic) | allnurses
I also posted this on the Students thread coz I am just really sooooo lost and am freaking out right now.:banghead: Hello everyone, I am writing a care plan on hemothorax. My textbooks doesn't
*  Doctors covered by Caser (Salud) in Alicante specialising in hemothorax
Book an appointment with the best specialists covered by Caser (Salud) experts in hemothorax in Alicante. Consult verified reviews
*  ICD-10 Diagnosis Code S27.1XXS Traumatic hemothorax, sequela
Diagnosis Code S27.1XXS information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
*  Extracranial vertebral artery dissection
Endovascular therapy for massive haemothorax caused by ruptured extracranial vertebral artery aneurysm with neurofibromatosis Type 1. M Hieda; N Toyota; H Kakizawa; N Hirai; T Tachikake; Y Yahiro; Y Iwasaki; J Horiguchi; K Ito // British Journal of Radiology;Apr2007, Vol. 80 Issue 952, pe81 Extracranial vertebral artery aneurysm is uncommon, and the common cause is penetrating trauma. Rupture of extracranial vertebral artery aneurysm into the thoracic cavity is extremely rare and fatal due to haemorrhagic shock by massive haemothorax. We report an intrathoracic rupture of the... ...
*  Chest Trauma: An Overview | MedCrave
Primary evaluation: In primary assessment of chest trauma patients the process of diagnosis and prompt treatment should be started simultaneously, searching and managing life-threatening lesions such as airway obstruction, tension pneumothorax, open pneumothorax, massive hemothorax, flail chest and cardiac tamponade. It is mandatory to monitor ECG, blood pressure, pulse oximetry and capnography. In this primary evaluation chest X-ray, ultrasound and blood gases are taken and decide whether to intubate the trachea, needle thorachostomy, chest tube thoracotomy in the emergency room, and/or pericardiocentesis. Secondary assessment: Once the life-threatening lesions are identified and treated a more extend and meticulous evaluation must be done. The first step is to make a complete and detailed review of the case. If there are relatives or friends we must obtain complete data of the patient's medical history that can be relevant for the immediate comprehensive management: diabetes, hypertension, ...
*  Thoracic Trauma © Pearson. - ppt download
Overview Major signs and symptoms Pathophysiology and management Immediate life-threatening injuries Pathophysiology and management Open pneumothorax Tension pneumothorax Massive hemothorax Flail chest Cardiac tamponade
*  Complications of Traumatic Injuries
COMPLICATIONS OF TRAUMA ANN O'ROURKE, MD, MPH SCRTAC TRAUMA CARE BEYOND THE ED DECEMBER 4, 2014 Saving Lives By Strengthening Our Region's Trauma Care System OUR CASE • 31 yo man MVC with prolonged extrication • Presents to ED: • Confused, HR 120, RR35, BP90/65 • Diminished breath sounds on right with palpable chest crepitus • Unequal leg length • Abdominal bruising • What are your concerns? OUR PATIENT • Right hemopneumothorax-facility placed 28Fr chest tube • Liver laceration-managed non-operatively • Right acetabular fracture dislocation with proximal femur fx-traction with planned operation • C3 fracture with small epidural hematomamanaged with PMT collar POST INJURY DAY 2 OUR PATIENT STILL COMPLAINS OF DIFFICULTY BREATHING • What are your concerns? • Worsening pulmonary contusion • Pneumothorax • Hemothorax • Pain from fractures • Abdominal fluid/blood • Pneumonia/pneumonitis • Pulmonary embolism RETAINED HEMOTHORAX • Our chest tube did ...
*  hemopneumothorax - meddic
Hemopneumothorax, or haemopneumothorax, is a medical term describing the combination of two conditions: pneumothorax, or air in the chest cavity, and hemothorax (also called hæmothorax), or blood in the chest cavity.. A hemothorax, pneumothorax or both can occur if the chest wall is punctured. To understand the ramifications of this it is important to have an understanding of the role of the pleural space. The pleural space is located anatomically between the visceral membrane, which is firmly attached to the lungs, and the parietal membrane which is firmly attached to the chest wall (aka ribcage and intercostal muscles, muscles between the ribs). The pleural space contains pleural fluid. This fluid holds the two membranes together by surface tension, as much as a drop of water between two sheets of glass prevents them from separating. Because of this, when the intercostal muscles move the ribcage outward, the lungs are pulled out as well, dropping the pressure in the lungs ...
*  Search of: pleurisy OR pleural disorders OR pleural effusion OR pneumothorax OR hemothorax | Recruiting, Not yet recruiting,...
Incidence of acute and subacute toxicity defined as grade 4 or 5 adverse events as assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version ...
*  Detection of pneumothoraces in patients with multiple blunt trauma: use and limitations of eFAST | Emergency Medicine Journal
Chest trauma is responsible for approximately 20% of deaths from injury in patients with trauma. Of these 70%-80% are caused by road traffic accidents. Pneumothorax is a common finding, with a prevalence of up to 50% in severe chest trauma and greater than 20% in all patients with trauma.1 The triad of cardiac tamponade, tension pneumothorax and massive haemothorax in chest trauma is lethal if not rapidly recognised and treated immediately.. Pneumothoraces missed in chest radiography but detected in CT are called 'occult pneumothoraces'. The frequency of occult pneumothoraces may be up to 76% in supine CXR when read and interpreted real time by a trauma team or 2%-15% when later read by a board-certified radiologist.2 Although common sense might suggest that missed pneumothoraces are either very small or in atypical locations, there is no evidence to confirm this. In a comparison of CT versus CXR, the size and location of missed occult pneumothoraces in radiographic evaluation were statistically ...
*  Thoracic trauma | IRIS Università degli Studi di Perugia
From January 1989 to December 1992, in the Institute of Clinical Surgery of the University of Perugia, 102 patients were admitted for thoracic trauma. Two patients with an open thoracic trauma, both presenting multiple shot-wounds, underwent an explorative thoracotomy. One of them died on the operating-table from hemorrhage, while the other was saved by a wedge-resection. A 3rd explorative thoracotomy was successfully performed on a patient with internal thoracic trauma and severe hemothorax. Among the 100 patients with an internal thoracic trauma, mortality was 6%, but only one of the 6 deceased, had no lesions other than a fail chest. As a matter of fact 38 patients presented lesions in other parts of the body. Simple and complicated multiple costal fractures, found in 84 cases, were the most frequent lesions observed. Seventeen of the 38 patients with pneumothorax and/or pleural effusion had a chest tube applied. Three patients were operated for a diaphragmatic hernia with a positive ...
*  Pigtail Catheters Instead Of Chest Tubes? | The Trauma Pro
Traditionally, hemothorax and pneumothorax in trauma has been treated with chest tubes. I've previously written about some of the debate regarding using smaller tubes or catheters. A paper that will be presented at the EAST meeting in January looked at pain and failure rates using 14Fr pigtail catheters vs 28Fr chest tubes.. This was a relatively small, prospective study, and only 40 of 74 eligible patients were actually enrolled over 20 months at a Level I trauma center in the US. Pain was measured using a standard Visual Analog Scale, as was complication and failure rate, tube duration and hospital stay.. The following interesting findings were noted:. ...
*  Most recent papers with the keyword pneumotorax | Read by QxMD
BACKGROUND: The 25% of traumatic deaths are due to chest trauma with a mortality of 28%, and closed trauma is the most common mechanism of injury. The use of firearms increases the relative risk of death. The five more frequent specific chest injuries are lung contusion (31.8%), hemothorax/pneumothorax (19.4%), rib fractures (13.2%), and diaphragmatic injury (7.5%). CLINICAL CASE: Patient of 25 years with a single firearm projectile wound in the chest who assisted to the emergency room (ER) with significant respiratory distress and meriting surgical emergency airway, documenting double pneumothorax, aortic laceration and rupture of the trachea, which required management in the ER with bilateral chest tube placement and subsequent surgical repair ...
*  Spontaneous bilateral extrapleural hematoma: a case report | Journal of Cardiothoracic Surgery | Full Text
EPH most commonly occurs in high-energy blunt trauma, especially those involving rib fractures [1]. Diagnosis of EPH is generally difficult and often delayed and is mainly based on x-ray findings; therefore, a thoracic CT scan is usually conducted to generate a diagnosis at the shortest possible time. A typical CT finding in EPH is the "fat sign," which is the displacement of the thoracic soft-tissue band medially to the ribs due to a fluid accumulation in the extrapleural space [2]. A stable patient and a small hematoma can be managed conservatively. Evacuation of blood clots is required in large EPHs because respiratory and circulatory disturbances may occur [3].. Hemothorax may also occur in EPH cases due to coagulopathy during hemodialysis, suggesting that it arises secondary to platelet dysfunction of uremia and/or anticoagulant use. Nevertheless, the incidence of unilateral EPH is relatively rare in this situation [4]. In the present report, the patient underwent ...
*  justice4nifong: August 2011
This leads to the "Summary and Interpretation." The summary is inconclusive and there is no interpretation. The medical examiner explains that Reginald Daye sustained a single puncture laceration that penetrated a slew of organs in the thoracic and abdominal cavities, with hemorrhaging into them. It is evident that Daye did not die due to shock or blood loss. If there was a hemothorax, or bleeding into the chest cavity, or pneumothorax, air in the thoracic cavity, a chest tube would have been inserted. Repairs to lacerated organs should have put an end to the bleeding into the abdominal cavity. There is no mention as to why Daye was brain dead, why he went into cardiac arrest, which preceded which, and whether or not the patient was taken off life support. These questions are all the more baffling when it was reported post-operatively that he was expected to make a full recovery ...
*  H&H Medical introduces the H*VENT Vented Chest Dressing
The new H*VENT vented chest dressing treats not only pneumothorax, but also allows fluids such as blood to be released from the chest (hemothorax).
*  Cryoablation of Atrial Fibrillation Using a Novel Cryoablation System - Tabular View - ClinicalTrials.gov
feasibility(ability to position the catheter, forming the cryoapplicator to a loop, positioning and delivering cryothermia);acute efficacy of ablation(percentage of electrodes without measureable signals); clinical efficacy of ablation(no AF 4, 8 and 12 weeks after ablation); procedure and fluoroscopy time(from introduction of the catheter into the left atrium until removal after termination of the last cryoapplication); cumulative cryoablation time; onset and time course between visit 3 and 5 of pneumothorax,hemothorax,femoral pseudoaneurysm,arteriovenous fistulae,hemorrhage-no ...
*  MedPix Case - Metastatic Squamous Cell Lung Cancer with Underlying Idiopathic Pulmonary Fibrosis
AP:No evidence of pneumothorax or hemothorax. Multiple diffuse nodules ranging from 2-4 cm in diameter found bilaterally. There is evidence of some widening of the mediastinum. There are bilateral diffuse areas of greater opacity, greater in the mid to lower fields. L heart border is not clearly seen, both costaphrenic angles are not clearly visualized. Lat: Diffuse increased opacity throughout lung fields, to include above and below the heart shadow. CPA is completely obscured, unable to visualize the spinous processes clearly.
*  Bacillus anthracis | Pathway Medicine
Anthax spores germinate in lung following inhalation of infected animal skins (AKA Woolsorter's Disease) or due to bioterrorism. Inhaled spores are rapidly phagocytosed by alveolar macrophages and transported to mediastinal lymph nodes where they germinate. Germination results in hemorrhagic necrosis of these lymph Nodes, and thus a hemothorax characterized by a hemorrhagic mediastinum as well as pleural effusions. On chest radiography this is observed as "Mediastinal Widening". Subsequent hematogenous dissemination is rapidly fatal ...