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A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter.
Ann Card Anaesth
January 2025
Department of Anaesthesiology, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.
We report a case of a 74-year-old female with a retrosternal goiter undergoing video-assisted thoracic surgery (VATS) for a left lung lower lobectomy, necessitating one-lung ventilation (OLV). We encountered a highly unusual complication: contralateral tension pneumothorax. Forty-five minutes into the surgical procedure, a sudden cardiovascular collapse occurred.
View Article and Find Full Text PDFFeasibility of ultraportable US in detecting clinically concerning recurrent pneumothorax in patients with chest trauma.
Trauma Surg Acute Care Open
December 2024
Department of Surgery, Division of Trauma & Acute Care Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Background: Bedside thoracic ultrasound (US) offers numerous advantages over chest X-ray (CXR) for identification of recurrent pneumothoraces (PTX) after tube thoracostomy (TT) removal. Technologic advancements have led to the development of hand-held devices capable of producing high-quality images termed ultra-portable US (UPUS). We hypothesized that UPUS would be as successful as CXR in detecting post-TT removal PTX and would be preferred by patients.
View Article and Find Full Text PDFIntroduction: Malignant Pleural Effusion (MPE) is common in advanced malignancy. Data are needed on health care utilization and costs.
Methods: This population-based retrospective cohort study included patients aged ≥18 years with an MPE diagnosed between January 1, 2004 and December 31, 2018.
Endotracheal tube as chest tube: a back-up alternative in resource limited settings.
Emerg Med J
January 2025
Department of Anesthesiology & Trauma Center / HEMS Lifeliner 1, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands
Thoracostomies, and subsequent placements of chest tubes (CTs), are a standard procedure in several domains of medicine. In emergency medicine, thoracostomies are indicated to release a relevant hemothorax or pneumothorax, particularly a life-threatening tension pneumothorax. In many cases, an initial finger-assisted thoracostomy is followed by placement of a CT to ensure continuous decompression of blood and air.
View Article and Find Full Text PDFUnilateral chylothorax in a renal transplant recipient: A case report.
Urol Case Rep
January 2025
Department of Urology, Faculty of Medicine, University of Indonesia, Central Jakarta, Special Capital Region of Jakarta, Indonesia.
Chylothorax is accumulated lymphatic fluid in the pleural space. It rarely happens in end-stage renal illness patients, but possible causes are hospital-related. This case describes a 40-year-old man experiencing unilateral chylothorax after a kidney transplant.
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