Chest Tube Thoracostomy

2020 ◽  
pp. 47-50
Author(s):  
Garrett Wegerif ◽  
Edward B. Savage
Keyword(s):  
Chest Tube ◽  
Tube Thoracostomy

scholarly journals Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Alqasem Fuad H. Al Mosa ◽  
Mohammed Ishaq ◽  
Mohamed Hussein Mohamed Ahmed
Keyword(s):  
Chest Tube ◽  
Complete Resolution ◽  
Pleural Cavity ◽  
Tube Thoracostomy ◽  
Thoracic Cavity ◽  
Common Complication ◽  
Thoracostomy Tube ◽  
Chest Computed Tomography ◽  
Initial Improvement ◽  
The Right

Chest tube malpositioning is reported to be the most common complication associated with tube thoracostomy. Intraparenchymal and intrafissural malpositions are the most commonly reported tube sites. We present a case about a 21-year-old patient with cystic fibrosis who was admitted due to bronchiectasis exacerbation and developed a right-sided pneumothorax for which a chest tube was inserted. Partial initial improvement in the pneumothorax was noted on the chest radiograph, after which the chest tube stopped functioning and the pneumothorax remained for 19 days. Chest computed tomography was done and revealed a malpositioned chest tube in the right side located inside the thoracic cavity but outside the pleural cavity (intrathoracic, extrapleural). The removed chest tube was patent with no obstructing materials in its lumen. A new thoracostomy tube was inserted and complete resolution of the pneumothorax followed.

Thin Chest Wall is an Independent Risk Factor for the Development of Pneumothorax after Chest Tube Removal

2012 ◽  
Vol 78 (4) ◽  
pp. 478-480 ◽  
Author(s):  
Rahul J. Anand ◽  
James F. Whelan ◽  
Paula Ferrada ◽  
Therese M. Duane ◽  
Ajai K. Malhotra ◽  
...  
Keyword(s):  
Risk Factor ◽  
Chest Wall ◽  
Scale Score ◽  
Wall Thickness ◽  
Chest Tube ◽  
Independent Risk Factor ◽  
Tube Thoracostomy ◽  
Abbreviated Injury Scale ◽  
Tube Removal ◽  
Chest Tube Removal

The factors contributing to the development of pneumothorax after removal of chest tube thoracostomy are not fully understood. We hypothesized that development of post pull pneumothorax (PPP) after chest tube removal would be significantly lower in those patients with thicker chest walls, due to the “protective” layer of adipose tissue. All patients on our trauma service who underwent chest tube thoracostomy from July 2010 to February 2011 were retrospectively reviewed. Patient age, mechanism of trauma, and chest Abbreviated Injury Scale score were analyzed. Thoracic CTs were reviewed to ascertain chest wall thickness (CW). Thickness was measured at the level of the nipple at the midaxillary line, as perpendicular distance between skin and pleural cavity. Chest X-ray reports from immediately prior and after chest tube removal were reviewed for interval development of PPP. Data are presented as average ± standard deviation. Ninety-one chest tubes were inserted into 81 patients. Patients who died before chest tube removal (n = 11), or those without thoracic CT scans (n = 13) were excluded. PPP occurred in 29.9 per cent of chest tube removals (20/67). When PPP was encountered, repeat chest tube was necessary in 20 per cent of cases (4/20). After univariate analysis, younger age, penetrating mechanism, and thin chest wall were found to be significant risk factors for development of PPP. Chest Abbreviated Injury Scale score was similar in both groups. Logistic regression showed only chest wall thickness to be an independent risk factor for development of PPP.

Development of a Training Model for Small Animal Thoracocentesis and Chest Tube Thoracostomy

2014 ◽  
Vol 42 (3) ◽  
pp. 201-205
Author(s):  
Julie A. Williamson ◽  
Robin M. Fio Rito
Keyword(s):  
Chest Tube ◽  
Small Animal ◽  
Training Model ◽  
Tube Thoracostomy

scholarly journals Unusual late complication of chest tube thoracostomy

Injury Extra ◽  
2008 ◽  
Vol 39 (10) ◽  
pp. 335-336 ◽  
Author(s):  
V. Covelli ◽  
P. Cavallo
Keyword(s):  
Chest Tube ◽  
Late Complication ◽  
Tube Thoracostomy

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.

scholarly journals Empyema thoracis in a Nigerian neonate: case report and brief literature review

2021 ◽  
Vol 8 (7) ◽  
pp. 1271
Author(s):  
Ezinwa O. Ezuruike ◽  
Ndubuisi K. Chukwudi ◽  
Nathan U. Nwokeforo ◽  
Mary-Anna Ekpe Obioma
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Respiratory Distress ◽  
Chest Tube ◽  
Hospital Admissions ◽  
Neonatal Period ◽  
Tube Thoracostomy ◽  
Empyema Thoracis ◽  
Paediatric Hospital

Empyema thoracis (ET) is a significant cause of paediatric hospital admissions and mortality but an infrequent finding in the neonatal period. Our case was a three week old male who presented with respiratory distress and had empyema thoracis. He was managed successfully with antibiotics and chest tube thoracostomy drainage.

scholarly journals A comparison of chemical pleurodesis using 8 f percutaneous catheter and 28 f chest tube thoracostomy in malignant pleural effusions

2018 ◽  
Vol 51 (1) ◽  
pp. 36-41
Author(s):  
Arif Osman Tokat ◽  
Hüseyin Çakmak ◽  
Sezgin Karasu ◽  
Şengül Özmert ◽  
Mustafa Kotanoğlu
Keyword(s):  
Chest Tube ◽  
Tube Thoracostomy ◽  
Pleural Effusions ◽  
Chemical Pleurodesis ◽  
Malignant Pleural Effusions ◽  
Percutaneous Catheter
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