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Sunken flap following chest tube placement in the presence of ventriculopleural shunt: a case report.
J Med Case Rep
December 2024
Department of Neurology, Los Angeles General Medical Center/University of Southern California, 1100 N. State St., Clinic Tower A4E, Los Angeles, CA, 90034, USA.
Background: The sunken flap or sinking skin flap syndrome is a complication that can be observed following decompressive craniectomy. More rare, sinking skin flap syndrome can occur as an iatrogenic complication of pleural effusion evacuation via chest tube placement in the presence of ventriculopleural shunt.
Case Presentation: We report the case of a Hispanic male patient in his 20s who presented to the emergency department after sustaining a penetrating gunshot wound to the head.
"Suction vs Gravity: A Distinction Without a Difference?": Insights From a Multicenter Randomized Trial on Speed and Safety of Two Pleural Fluid Draining Methods.
Chest
December 2024
University of Chicago Medical Center, Interventional Pulmonology, Section of Pulmonary & Critical Care, Department of Medicine, Chicago, IL. Electronic address:
Chest Tubes and Pleural Drainage: History and Current Status in Pleural Disease Management.
J Clin Med
October 2024
Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.
Article Synopsis
- Thoracostomy and chest tube placement are essential procedures for managing pleural diseases caused by fluid or air buildup in the pleural cavity, with historic methods evolving significantly since Hippocrates.
- The development of closed drainage systems in the 19th century and advancements in materials, such as plastic and the Heimlich valve, have improved chest tube designs and functionality.
- Modern techniques include various tube designs, digital monitoring systems, and the use of pleurodesis to prevent complications, ensuring that chest tube insertion continues to play a vital role in treating pleural conditions effectively.
Costal cartilage as a promising technique for large bronchial fistula closure in fistulous empyema: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of General Thoracic Surgery, National Hospital Organization, Kanagawa Hospital, 666-1 Ochiai, Hadano, Kanagawa, 257-8585, Japan.
Background: There is no high level of evidence for the treatment of fistulous empyema. We report here a promising technique for closure of a bronchopleural fistula using costal cartilage as a bronchial embolus.
Case Presentation: The patient is a 79-year-old man.
Beyond tradition: Exploring the potential of a novel drainage technique for indwelling pleural catheter.
Lung India
November 2024
Department of Respiratory Medicine, AICTS, Pune, Maharashtra, India.
Background: There are guidelines recommending the use of Indwelling pleural catheter (IPC), but there is no established consensus or guidelines regarding the modality of drainage post-IPC insertion. We have devised a novel drainage technique that combines the advantages of both aggressive and symptom-guided drainage.
Method: This was a prospective intervention trial in which patients with malignant pleural effusion, drained with IPC, were initially given one week of 'high-intensity' drainage on an outpatient basis using a low-pressure suction pump, followed by symptom-based home drainage using vacuum bottles.
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