Spontaneous Hemopneumothorax - Results of Conservative Treatment

Swiss Surgery ◽  
2000 ◽  
Vol 6 (2) ◽  
pp. 62-64 ◽  
Author(s):  
de Perrot ◽  
Deléaval ◽  
Robert ◽  
Spiliopoulos
Keyword(s):  
Conservative Treatment ◽  
Chest Tube ◽  
Pleural Cavity ◽  
Early Stage ◽  
Tube Placement ◽  
Emergency Thoracotomy ◽  
Threatening Condition ◽  
Life Threatening ◽  
Trapped Lung ◽  
Spontaneous Hemopneumothorax

Spontaneous hemopneumothorax is a serious condition complicating spontaneous pneumothorax. Early stage thoracotomy has been advocated to stop the bleeding and evacuate the coagulated blood from the pleural cavity. The present review was undertaken to emphasize the potential life-threatening condition of spontaneous hemopneumothorax and reassess the benefit of conservative treatment with chest tube drainage. Out of six patients, five patients were treated conservatively and one required an emergency thoracotomy because of cardiovascular collapse. Although three patients still had minimal residual hemopneumothorax on discharge, none of them developed empyema or trapped lung. In conclusion, conservative treatment is efficient and should be performed if bleeding persists for less than 24 hours after chest tube placement.

scholarly journals A Rare Case of Spontaneous Empyema by Clostridium perfringens

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sijan Basnet ◽  
Izza Mir ◽  
Elan Mohanty ◽  
Rashmi Dhital ◽  
Biswaraj Tharu ◽  
...  
Keyword(s):  
Clostridium Perfringens ◽  
Chest Tube ◽  
Rare Case ◽  
Pleural Cavity ◽  
Tube Placement ◽  
Shortness Of Breath ◽  
Nonproductive Cough ◽  
Chest Tube Placement ◽  
Swallowing Dysfunction ◽  
History Of

Empyema caused by clostridial infections is rare especially in the absence of invasive thoracic procedures. We present the case of an 81-year-old man without a history of preceding trauma who presented with shortness of breath and nonproductive cough and grew Clostridium perfringens only in the pleural cavity. He was predisposed to the infection due to his swallowing dysfunction. He was treated with penicillin and chest tube placement for drainage and subsequently improved.

scholarly journals Where is the chest tube? Ectopic chest tube

2020 ◽  
pp. 102490792098126
Author(s):  
Syed Abdul Kader Mohamed Saleem ◽  
Ismail Mohd Saiboon ◽  
Muhammad’ Abid Amir
Keyword(s):  
Chest Tube ◽  
Flail Chest ◽  
Tension Pneumothorax ◽  
Emergency Setting ◽  
Tube Insertion ◽  
Common Procedure ◽  
Chest Tube Insertion ◽  
Iatrogenic Complications ◽  
Threatening Condition ◽  
Life Threatening

Tension pneumothorax is one of the commonest life-threatening condition seen in multiple injury or polytrauma trauma victims. Chest tube insertion has been the mainstay treatment for tension pneumothorax since early 1970s until today. Despite being a common procedure performed by an emergency resident, the incidence of complications related to the procedure remains significantly high. Iatrogenic complications are particularly more common in patients that are critically ill, obese or with a flail chest. This report will be discussing on an ectopic chest tube insertion during management of a case of traumatic tension pneumothorax in an obese patient with flail chest. Further discussions are on various recent updates on chest tube insertion procedures in an emergency setting. It is vital to understand that prior to chest tube insertion, it is important to acknowledge a possibility of complicated procedure by stratifying the risk of individual patients. Hence, this may reduce the risk of iatrogenic complications.

scholarly journals Management ofVaricellaGangrenosa: A Life-Threatening Condition from Chickenpox

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Judith P. M. Schots ◽  
Peter Moons ◽  
Jan H. M. B. Stoot
Keyword(s):  
Conservative Treatment ◽  
Antiviral Therapy ◽  
Surgical Intervention ◽  
Skin Lesions ◽  
Threatening Condition ◽  
Life Threatening ◽  
Bacterial Superinfection ◽  
Early Surgical Intervention

Varicellagangrenosa, in which gangrenous ulceration of the skin and/or deeper tissues is seen, is a rare but alarming complication ofVaricellainfection. An early surgical intervention is generally advised, especially in case of sepsis and/or the presence of large necrotic lesions. We describe a case of a previously healthy 12-month-old boy presenting with sepsis due toVaricellagangrenosa. He presented with moderate lesions of moist gangrene. We treated our patient initially with antibiotics (ceftriaxone and metronidazole) and later on flucloxacillin and antiviral therapy (acyclovir) whereupon his condition rapidly improved and all skin lesions healed entirely. This report highlights the possibility of conservative treatment and emphasizes the significance of acyclovir in the management of chickenpox complicated by moist gangrene due to bacterial superinfection.

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 Optimising Heart Failure Therapies in the Acute Setting

2018 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Mattia Arrigo ◽  
Petra Nijst ◽  
Alain Rudiger ◽  
◽  
◽  
...  
Keyword(s):  
Heart Failure ◽  
Ethical Issues ◽  
Time Window ◽  
Early Stage ◽  
Treatment Plan ◽  
Initial Therapy ◽  
Transitions Of Care ◽  
Average Survival ◽  
Threatening Condition ◽  
Life Threatening

Acute heart failure (AHF) is a life-threatening condition requiring immediate treatment. The initial therapy should take into account the clinical presentation, pathophysiology at play, precipitating factors and underlying cardiac pathology. Particular attention should be given to polymorbidity and the avoidance of potential iatrogenic harm. Patient preferences and ethical issues should be integrated into the treatment plan at an early stage. The average survival of AHF patients is 2 years and the most vulnerable period is the 3-month time window directly after discharge. Reducing both persistent subclinical congestion and underutilisation of disease-modifying heart failure therapies as well as ensuring optimal transitions of care after hospital discharge are essential in improving outcomes for AHF patients.

scholarly journals Physiomarkers in Real-Time Physiological Data Streams Predict Adult Sepsis Onset Earlier Than Clinical Practice

2018 ◽  
Author(s):  
Franco van Wyk ◽  
Anahita Khojandi ◽  
Robert L. Davis ◽  
Rishikesan Kamaleswaran
Keyword(s):  
Machine Learning ◽  
At Risk ◽  
Real Time ◽  
Early Stage ◽  
Time Windows ◽  
Machine Learning Algorithms ◽  
Physiological Data ◽  
Threatening Condition ◽  
Risk Patients ◽  
Life Threatening

AbstractRationale: Sepsis is a life-threatening condition with high mortality rates and expensive treatment costs. To improve short- and long-term outcomes, it is critical to detect at-risk sepsis patients at an early stage.Objective: Our primary goal was to develop machine learning models capable of predicting sepsis using streaming physiological data in real-time.Methods: A dataset consisting of high-frequency physiological data from 1,161 critically ill patients admitted to the intensive care unit (ICU) was analyzed in this IRB-approved retrospective observational cohort study. Of that total, 634 patients were identified to have developed sepsis. In this paper, we define sepsis as meeting the Systemic Inflammatory Response Syndrome (SIRS) criteria in the presence of the suspicion of infection. In addition to the physiological data, we include white blood cell count (WBC) to develop a model that can signal the future occurrence of sepsis. A random forest classifier was trained to discriminate between sepsis and non-sepsis patients using a total of 108 features extracted from 2-hour moving time-windows. The models were trained on 80% of the patients and were tested on the remaining 20% of the patients, for two observational periods of lengths 3 and 6 hours.Results: The models, respectively, resulted in F1 scores of 75% and 69% half-hour before sepsis onset and 79% and 76% ten minutes before sepsis onset. On average, the models were able to predict sepsis 210 minutes (3.5 hours) before the onset.Conclusions: The use of robust machine learning algorithms, continuous streams of physiological data, and WBC, allows for early identification of at-risk patients in real-time with high accuracy.

Spontaneous hemopneumothorax: an overlooked life-threatening condition

2003 ◽  
Vol 21 (4) ◽  
pp. 343-345 ◽  
Author(s):  
Wen-Chu Chiang ◽  
Wen-Jone Chen ◽  
Kuang-Jui Chang ◽  
Ting-I Lai ◽  
Ang Yuan
Keyword(s):  
Threatening Condition ◽  
Life Threatening ◽  
Spontaneous Hemopneumothorax

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

Severe Alveolar Hemorrhage – What’s in it for the Gastroenterologist?

2016 ◽  
Vol 25 (4) ◽  
pp. 555-558
Author(s):  
Alina Popp
Keyword(s):  
Celiac Disease ◽  
International Normalized Ratio ◽  
Gluten Free Diet ◽  
Alveolar Hemorrhage ◽  
Severe Anemia ◽  
Gluten Free ◽  
Pulmonary Infiltrates ◽  
Pulmonary Hemosiderosis ◽  
Threatening Condition ◽  
Life Threatening

Background: Alveolar hemorrhage is a potentially life-threatening condition which is usually managed by the pulmonologist. When considering its etiology, there is a rare association that sets the disease into the hands of the gastroenterologist. Case presentation: We report the case of a 48 year-old female who was admitted to the intensive care unit for severe anemia and hemoptysis. On imaging, diffuse pulmonary infiltrates suggestive of alveolar hemorrhage were detected and a diagnosis of pulmonary hemosiderosis was made. She received cortisone therapy and hematologic correction of anemia, with slow recovery. In search of an etiology for the pulmonary hemosiderosis, an extensive workup was done, and celiac disease specific serology was found positive. After confirmation of celiac disease by biopsy, a diagnosis of Lane-Hamilton syndrome was established. The patient was recommended a gluten-free diet and at 6 months follow-up, resolution of anemia and pulmonary infiltrates were observed. Conclusion: Although the association is rare, celiac disease should be considered in a patient with idiopathic pulmonary hemosiderosis. In our case, severe anemia and alveolar infiltrates markedly improved with glucocorticoids and gluten-free diet. Abbreviations: APTT: activated partial thromboplastin time; BAL: bronchoalveolar lavage; CD: celiac disease; Cd: crypt depth; GFD: gluten-free diet; GI: gastrointestinal; IEL: intraepithelial lymphocyte; INR: international normalized ratio; IPH: idiopathic pu

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