Non-Operative Management Of Chest Tube Induced Pulmonary Artery Injury

10.5580/2b3c ◽  
2012 ◽  
Vol 15 (2) ◽  
Keyword(s):  
Pulmonary Artery ◽  
Chest Tube ◽  
Operative Management ◽  
Artery Injury ◽  
Non Operative Management

scholarly journals Non-operative management of tube thoracostomy induced pulmonary artery injury

2009 ◽  
Vol 9 (4) ◽  
pp. 759-760 ◽  
Author(s):  
Senthilkumar R. Sundaramurthy ◽  
Randall A. Moshinsky ◽  
Julian A. Smith
Keyword(s):  
Pulmonary Artery ◽  
Operative Management ◽  
Tube Thoracostomy ◽  
Artery Injury ◽  
Non Operative Management

Non-operative management of right side thoracoabdominal penetrating injuries—The value of testing chest tube effluent for bile

Injury ◽  
2009 ◽  
Vol 40 (5) ◽  
pp. 506-510 ◽  
Author(s):  
João Baptista De Rezende Neto ◽  
Tiago Nunes Guimarães ◽  
João Lopo Madureira ◽  
Domingos André Fernandes Drumond ◽  
Juliana Campos Leal ◽  
...  
Keyword(s):  
Chest Tube ◽  
Operative Management ◽  
Penetrating Injuries ◽  
Non Operative Management

scholarly journals A Case Report of Iatrogenic Pulmonary Artery Injury due to Chest-Tube Insertion Repaired under Cardiopulmonary Bypass

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ciss Amadou Gabriel ◽  
Dieng Papa Adama ◽  
Ba Papa Salmane ◽  
Gaye Magaye ◽  
Diatta Souleymane ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Chest Tube ◽  
Main Pulmonary Artery ◽  
Median Sternotomy ◽  
Posterior Wall ◽  
Ascending Aorta ◽  
Artery Injury ◽  
The Right

The authors presented a case of a 50-year-old patient with multiple trauma who suffered from the inadvertent cannulation of the main pulmonary artery at the second attempt of left chest drainage. Pulmonary artery injury has been suspected because early chest tube production was 2300 mL of blood. CT scan showed injury of the trunk of the pulmonary artery, left hemothorax, and suspect damage of the right branch of the pulmonary artery. That chest tube touched the posterior wall of ascending aorta. Surgical approach was median sternotomy. Exploration showed a perforation of the trunk of pulmonary artery without lesion of the right pulmonary branch and the posterior wall of the ascending aorta. The lesion was repaired under normothermic partial cardiopulmonary bypass. Postoperative period was free of events. Review of the literatures for this rare case report has been done.

scholarly journals Minimally displaced unilateral facet fracture of cervical spine can lead to spinal cord injury: a report of two cases

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Satoshi Maki ◽  
Mitsuhiro Kitamura ◽  
Takeo Furuya ◽  
Takuya Miyamoto ◽  
Sho Okimatsu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Vertebral Artery ◽  
Operative Treatment ◽  
Operative Management ◽  
Artery Injury ◽  
Cord Injury ◽  
Disc Injury ◽  
Facet Fracture ◽  
Non Operative Management

Abstract Background According to most of the commonly used classification systems for subaxial spine injuries, unilateral and minimally displaced facet fractures without any sign of a spinal cord injury would be directed to non-operative management. However, the failure rate of non-operative treatment varies from 20 to 80%, and no consensus exists with regard to predictors of failure after non-operative management. Case presentation Case 1 is a patient with a unilateral facet fracture. The patient had only numbness in the right C6 dermatome but failed non-operative treatment, which resulted in severe spinal cord injury. Case 2 is a patient who had a similar injury pattern as case 1 but presented with immediate instability and underwent fusion surgery. Both patients had a minimally displaced unilateral facet fracture accompanied by disc injury and blunt vertebral artery injury, which are possible signs indicating significant instability. Conclusions This is the first report of an isolated unilateral facet fracture that resulted in catastrophic spinal cord injury. These two cases illustrate that an isolated minimally displaced unilateral facet fracture with disc injury and vertebral artery injury were associated with significant instability that can lead to spinal cord injury.

scholarly journals Coil embolization for pulmonary artery injury caused by chest tube drainage

2017 ◽  
Vol 24 (5) ◽  
pp. 811-812 ◽  
Author(s):  
Shunsuke Shigefuku ◽  
Yujin Kudo ◽  
Toru Saguchi ◽  
Junichi Maeda
Keyword(s):  
Pulmonary Artery ◽  
Chest Tube ◽  
Coil Embolization ◽  
Chest Tube Drainage ◽  
Tube Drainage ◽  
Artery Injury

scholarly journals Expectant management of pneumothorax in intubated COVID 19 positive patients: A case series

2020 ◽  
Author(s):  
Colby Elder ◽  
Sheina Bawa ◽  
Douglas Anderson ◽  
Stephen Atkinson ◽  
Joshua Etzel ◽  
...  
Keyword(s):  
Chest Tube ◽  
Case Series ◽  
Expectant Management ◽  
Operative Management ◽  
Positive Pressure ◽  
Nasopharyngeal Swab ◽  
Tube Insertion ◽  
Case Presentation ◽  
Chest Tube Insertion ◽  
Non Operative Management

Abstract Background: There is an increasing amount of literature describing the pathogenesis of coronavirus disease 2019 (COVID-19) pneumonia and its associated complications. Historically, a small pneumothorax has been shown to be successfully treated without chest tube insertion, but this management has yet to be proven in COVID-19 pneumonia patients. In addition, pneumothorax in an intubated patient with high positive end-expiratory pressure (PEEP) provides additional uncertainty with pursuing non-operative management. Case Presentation: In this series we report four cases of patients with respiratory distress who tested positive for COVID-19 via nasopharyngeal swab and developed ventilator-induced pneumothoraces which were successfully managed with observation alone.Conclusions: Management of patients with COVID-19 pneumonia on positive pressure ventilation who develop small stable pneumothoraces can be safely observed without chest tube insertion.

scholarly journals Expectant management of pneumothorax in intubated COVID-19 positive patients: a case series

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Colby Elder ◽  
Sheina Bawa ◽  
Douglas Anderson ◽  
Stephen Atkinson ◽  
Joshua Etzel ◽  
...  
Keyword(s):  
Chest Tube ◽  
Case Series ◽  
Expectant Management ◽  
Operative Management ◽  
Positive Pressure ◽  
Nasopharyngeal Swab ◽  
Tube Insertion ◽  
Case Presentation ◽  
Chest Tube Insertion ◽  
Non Operative Management

Abstract Background There is an increasing amount of literature describing the pathogenesis of coronavirus disease 2019 (COVID-19) pneumonia and its associated complications. Historically, a small pneumothorax has been shown to be successfully treated without chest tube insertion, but this management has yet to be proven in COVID-19 pneumonia patients. In addition, pneumothorax in an intubated patient with high positive end-expiratory pressure (PEEP) provides additional uncertainty with pursuing non-operative management. Case presentation In this series we report four cases of patients with respiratory distress who tested positive for COVID-19 via nasopharyngeal swab and developed ventilator-induced pneumothoraces which were successfully managed with observation alone. Conclusions Management of patients with COVID-19 pneumonia on positive pressure ventilation who develop small stable pneumothoraces can be safely observed without chest tube insertion.

scholarly journals Expectant Management of Pneumothorax in Intubated COVID 19 Positive Patients: A Case Series

2020 ◽  
Author(s):  
Colby Elder ◽  
Sheina Bawa ◽  
Douglas Anderson ◽  
Stephen Atkinson ◽  
Joshua Etzel ◽  
...  
Keyword(s):  
Chest Tube ◽  
Case Series ◽  
Expectant Management ◽  
Operative Management ◽  
Positive Pressure ◽  
Nasopharyngeal Swab ◽  
Tube Insertion ◽  
Case Presentation ◽  
Chest Tube Insertion ◽  
Non Operative Management

Abstract Background: There is an increasing amount of literature describing the pathogenesis of coronavirus disease 2019 (COVID-19) pneumonia and its associated complications. Historically, a small pneumothorax has been shown to be successfully treated without chest tube insertion, but this management has yet to be proven in COVID-19 pneumonia patients. In addition, pneumothorax in an intubated patient with high positive end-expiratory pressure (PEEP) provides additional uncertainty with pursuing non-operative management. Case Presentation: In this series we report four cases of patients with respiratory distress who tested positive for COVID-19 via nasopharyngeal swab and developed ventilator-induced pneumothoraces which were successfully managed with observation alone.Conclusions: Management of patients with COVID-19 pneumonia on positive pressure ventilation who develop small stable pneumothoraces can be safely observed without chest tube insertion.

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