Initial management of well tolerated but voluminous primary pneumothorax: intercostal chest tube versus needle aspiration

2021 ◽  
Author(s):  
Nidhal Belloumi ◽  
Imene Bachouch ◽  
Hana Mrassi ◽  
Nourelhouda Khezami ◽  
Imene Nouira ◽  
...  
Keyword(s):  
Chest Tube ◽  
Needle Aspiration ◽  
Initial Management ◽  
Tube Versus

Transthoracic needle aspiration: use of a small chest tube to treat pneumothorax

1987 ◽  
Vol 148 (5) ◽  
pp. 849-851 ◽  
Author(s):  
LM Perlmutt ◽  
SD Braun ◽  
GE Newman ◽  
RH Cohan ◽  
M Saeed ◽  
...  
Keyword(s):  
Chest Tube ◽  
Needle Aspiration

Randomized comparison of needle aspiration and chest tube drainage in spontaneous pneumothorax

2016 ◽  
Author(s):  
Andreas Thelle ◽  
Miriam Gjerdevik ◽  
Malcolm SueChu ◽  
Ole Magnus Hagen ◽  
Per Bakke
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Needle Aspiration ◽  
Chest Tube Drainage ◽  
Tube Drainage

scholarly journals Randomised comparison of needle aspiration and chest tube drainage in spontaneous pneumothorax

2017 ◽  
Vol 49 (4) ◽  
pp. 1601296 ◽  
Author(s):  
A. Thelle ◽  
M. Gjerdevik ◽  
M. SueChu ◽  
O. M. Hagen ◽  
P. Bakke
Keyword(s):  
Hospital Stay ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Needle Aspiration ◽  
Chest Tube Drainage ◽  
Success Rates ◽  
Adherence To Guidelines ◽  
Tube Drainage ◽  
Significant Difference ◽  
Positive Effect

Guidelines on spontaneous pneumothorax are contradictory as to intervention between needle aspiration (NA) and chest tube drainage (CTD). Studies show poor adherence to guidelines.Three Norwegian hospitals included patients with primary (PSP) and secondary (SSP) spontaneous pneumothorax. Patients underwent NA or CTD as the primary intervention. The main outcome was duration of hospital stay. Secondary outcomes were immediate- and 1-week success rates and complications.127 patients were included, including 48 patients with SSP. 65 patients underwent NA, 63 patients CTD. Median (interquartile range) hospital stay was significantly shorter for NA: 2.4 days (1.2–4.7 days), compared with CTD: 4.6 days (2.3–7.8 days) (p<0.001). The corresponding figures for the SSP subgroup were 2.54 days (1.17–7.79 days) compared with 5.53 days (3.65–9.21 days) (p=0.049) for NA and CTD, respectively. Immediate success rates were 69% for NA compared with 32% for CTD (p<0.001). The positive effect of NA remained significant in sub-analyses for SSP. There was no significant difference in 1-week success rates. Complications occurred only during the CTD-treatment.Our study shows shorter hospital stay and higher immediate success rates for NA compared with CTD. Subgroup analyses also show clear benefits for NA for both PSP and SSP.

A pilot study of chest tube versus pigtail catheter drainage of acute hemothorax in swine

2015 ◽  
Vol 79 (6) ◽  
pp. 1038-1043 ◽  
Author(s):  
Rachel M. Russo ◽  
Scott A. Zakaluzny ◽  
Lucas P. Neff ◽  
J. Kevin Grayson ◽  
Rachel A. Hight ◽  
...  
Keyword(s):  
Pilot Study ◽  
Chest Tube ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Tube Versus

scholarly journals Acute Bacterial Suppurative Thyroiditis following Fine Needle Aspiration: A Case Report and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Zaw Win Htet ◽  
E. Shyong Tai ◽  
Samantha Peiling Yang
Keyword(s):  
Fine Needle Aspiration ◽  
Thyroid Nodules ◽  
Clinical Status ◽  
Time Lag ◽  
Needle Aspiration ◽  
Suppurative Thyroiditis ◽  
Cystic Fluid ◽  
Initial Management ◽  
Fine Needle ◽  
Life Threatening

Background. Fine needle aspiration (FNA) of thyroid nodules is a simple, reliable, and inexpensive procedure performed on suspicious thyroid nodules found in thyroid ultrasound (US). Acute bacterial suppurative thyroiditis is an uncommon complication of FNA which, however, can be life threatening. Case Presentation. A 49-year-old lady presented with fever and neck pain 1 month after FNA with biochemical evidence of thyrotoxicosis. Repeat US of the thyroid showed interval enlargement of the thyroid nodule, and the culture of the cystic fluid of repeat FNA grew Propionibacterium acnes. She responded well to bedside aspiration and 2 weeks of antibiotic therapy without requiring surgical intervention. Discussion. Acute bacterial suppurative thyroiditis following FNA has been increasingly reported in immunocompetent hosts. There are 2 peculiar features in our case: a smoldering course caused by an indolent organism and a significant time lag between initial FNA and clinical presentation. On literature review, it was found that the onset of acute bacterial suppurative thyroiditis after FNA can range from a few days to up to 3 months. Clinicians should be aware of this complication even if FNA has been performed a few months ago. Thyroid US and US-guided FNA are useful initial investigations. Conventional management of acute bacterial suppurative thyroiditis has been surgery combined with antimicrobial therapy. However, recently, a more conservative approach has been reported to be effective in the treatment of acute bacterial suppurative thyroiditis as well. Conclusion. Proper infection control practices are necessary in performing the FNA. Initial management (conservative versus surgical) of acute bacterial thyroiditis should be based on the patient’s clinical status and the extent of infective focus.

scholarly journals Immediate Outcome of Neonate With Pneumothorax

2015 ◽  
Vol 5 (1) ◽  
pp. 3-7
Author(s):  
Marium Begum ◽  
Zabrul SM Haque ◽  
Mahmuda Hassan ◽  
Abdul Mannan ◽  
Nasim Jahan
Keyword(s):  
Chest Tube ◽  
Needle Aspiration ◽  
Meconium Aspiration Syndrome ◽  
High Flow ◽  
P Value ◽  
Maternal Risk ◽  
X Ray ◽  
Life Saving ◽  
High Flow Oxygen ◽  
High Index Of Suspicion

Objectives : To determine the outcome of pneumothorax in term and post term neonates.Study Design : Neonates presented with respiratory distress and diagnosed pneumothorax by X-ray at the time of admission or during the course of hospital stay were included in this study.Results: Total 49 cases were included for the study, among them 29(59.18%)were male and 20(40.82%) female, 42(85%)babies cured and 7(15%)expired. Thirty-five (71.46%) delivered by LUCS, 14(28.57%) by NVD. Pneumothorax associated with maternal risk factors like UTI 10(21.2%), PROM 5(10.2%), GDM 2(4.2%)cases, PIH 1(2.0%), PET 1(2%), were observed. No maternal risk factor has been identified in 25(51%)cases and 4(8.1%)cases due to other reason. Nineteen neonates (38.77%) with meconium aspiration syndrome, 14(28.57%) required PPV, 10(20.40%) with pneumonia 2(4.08%) with congenital heart disease, 2(4.08%) with TTN, pneumothorax 2(4.02%). Total 40(81.63%) cases were in patient, only 3(7.5%) of them died, 9(18.36%) babies were out patient among them 4(8.16%) died, (P value Â0.001). Significant death were seen among those who admitted after 24 hours of age, 3 out of 6 cases). Four (8.16) out of 36(73.4%)expired who admitted before 24 hours of age, (P value  0.001.) Pneumothorax were managed by nitrogen wash out 29(59.18%), 5(10.20%) needle aspiration with high flow oxygen, 5(10.20%)needed needle aspiration, chest tube with high flow oxygen. Ten (20.40%)babies needed needling, chest tube drainage with ventilator, among them 6(12.24%)expired and 4 survived. No death were observed among the neonates who were managed with high flow oxygen.Conclusions: High index of suspicion, prompt diagnosis by cold light and urgent portable X-ray and immediate intervention is needed for life saving and better outcomeJ. Paediatr. Surg. Bangladesh 5(1): 3-7, 2014 (January)

scholarly journals Teratoma de tiroides, reporte de caso

2017 ◽  
Vol 3 (1) ◽  
pp. 48-50
Author(s):  
Alejandro Román González ◽  
Alejandro Vélez Hoyos ◽  
Antonio Jaller ◽  
Catalina Rúa Marín
Keyword(s):  
Early Diagnosis ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Initial Management ◽  
Fine Needle ◽  
Rare Tumors ◽  
The Common ◽  
Benign Teratoma

Los teratomas tiroideos son tumores raros, de características en la mayoría de los casos benignas y de presentación predominantemente en la infancia, su importancia radica en la confusión que causa sobre cuál es el tejido de origen del tumor, por lo que es de vital importancia sospecharlos para evitar demoras en el diagnóstico y manejos inadecuados. Presentamos el caso de un niño de 3 años con teratoma tiroideo benigno, la biopsia por aspirado con aguja fina fue sospechosa de teratoma. Se realizó biopsia por congelación y hemitiroidectomía izquierda, con diagnóstico de teratoma benigno constituido principalmente por elementos condroides. El paciente se encuentra vivo y sin recaídas seis años después del manejo quirúrgico.Abstract Thyroid teratomas are very rare tumors, most are benign and usually occur during childhood. The importance of these tumors relies in the common confusion generated by uncertainties about the origin of the lesion. An early diagnosis it is very important to avoid a late management. A case of thyroid benign teratoma in a 3-year-old boy is presented. The fine needle aspiration biopsy was suspicious for this disease. A frozen biopsy followed by left hemithyroidectomy was done and the diagnosis of benign teratoma was confirmed based on the findings of chondroid elements. The patient is alive without recurrence of the disease 6 years after the initial management.

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