PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Chest Tubes”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 199 records · Page 11Linked to original sources
PubMed1982

Mini-thoracotomy and chest tube insertion for children with empyema.

In contrast to the two prior decades, empyema in children has become a rare disease during the past 10 years. Thirty-two children with empyema from all causes were treated at The Children's Memorial Hospital in Chicago in the 11 years between 1970 and 1982. Twenty cases followed postinfectious pneumonia, most commonly due to Staphylococcus aureus. The remaining patients had either an esophageal leak or a pleural infection following an intrathoracic operation. Fourteen of our patients were managed with a "mini-thoracotomy," which allowed accurate drainage of purulent material, débridement of fibrinous exudate, and rapid expansion of the lung with prompt relief from fever and toxicity. In our hands, this procedure provided results which were superior to those obtained with simple closed chest tube drainage. In addition, during this period of time, ultrasound examination of the chest has provided a rapid, accurate technique for the early detection and localization of fluid accumulations within the pleural cavity. Pre-drainage thoracentesis can be accurately guided by ultrasonic imaging.

Child↗
PubMedDate not supplied

Temporary cardiac tamponade secondary to chest tube placement for pneumothorax.

A 87-year-old woman was hospitalised because of a third-degree atrioventricular block. After the insertion of a temporary pacemaker lead through the left subclavian vein, she developed an ipsilateral pneumothorax. Although there were clinical and echocardiographic signs of cardiac tamponade after chest tube placement for pneumothorax, a second echocardiogram performed after transportation for surgical drainage failed to demonstrate the presence of any pericardial fluid, while the patient showed an unexpected clinical improvement. A new X-ray showed a collection of left pleural fluid. Over the following days a limited amount of blood was drained through the tube with disappearance of the pleural effusion and no further signs of major bleeding. A permanent DDD pacemaker was subsequently implanted and the patient was discharged in a good condition.

Aged, 80 and over↗
PubMed1988

Gas flow through a bronchopleural fistula. Measuring the effects of high-frequency jet ventilation and chest-tube suction.

High-frequency jet ventilation (HFJV) is FDA-approved for ventilating patients with bronchopleural fistulae (BPF), yet little is known about its effect on the fistula airleak. We quantitated a patient's BPF airleak during both conventional volume-cycled ventilation and HFJV. The effect of chest-tube suction (CTS) on BPF flow was also studied. Despite a significant reduction in peak airway pressure, the HFJV resulted in a 50-70 percent increase in BPF flow. CTS also significantly increased the airleak. HFJV may not always be the preferential method for ventilating patients with BPF and we recommend measuring the fistula airleak when attempting to optimize a patient's ventilatory parameters.

Adult↗
PubMed2003

[Assessment of end-tidal CO2 in the pleural chest tube during lung volume reduction surgery].

Surgery for emphysema is considered as one of the most challenging procedure for anaesthesiologist. Because of the critical illness of such patient, perioperative monitoring is important. Ventilatory monitoring is often difficult or impossible due to a possible massive air leak during the procedure. This case described how ETCO2 was assessed by capnography monitoring on the chest tube drainage.

Capnography↗
PubMed1983

Intermittent inspiratory chest tube occlusion: a modification for patients with empyema.

In critical ill patients, significant bronchopleural cutaneous fistulae (BPCF) may lead to the loss of a substantial portion of mechanically delivered inspiratory volume. This leads to maldistribution of ventilation and ventilation-perfusion mismatch with resulting arterial hypoxemia and hypercarbia. In such patients, attempts at surgical closure are frequently inadvisable. The use of intermittent inspiratory chest tube occlusion (IICTO) using a pneumatic valve has proven to be a useful adjunct in this clinical situation. In patients with empyema, as others, thick proteinaceous pleural fluid poses an unusual problem. As drying and caking of drainage occurs, the valving mechanism is impaired. A modification of the original technique is described, which eliminates this problem.

Adult↗