European Trauma course: the team approach. 3rd edn. Belgium: European Resuscitation Council, 2013. 11 Gareeboo S, Singh S. Tube thoracostomy: how to insert a chest drain. Br J Hosp Med 2006;67:M16–18. 12 Hale SJM, Mirjalili SA, Stringer MD. Inconsistencies in surface anatomy: the need for evidence-based reappraisal. Clin Anat 2010;23:922–30. 13 Harris A, O’Driscoll BR, Turkington PM. Survey of ...

A 22-year-old man presented to a rural Ugandan clinic with three months of progressive dyspnea. He described a non-productive cough and subjective fevers and chills. He appears mildly dyspneic but is in no acute distress. His has a temperature of 37.7°C, pulse of 112 beats per minute, respiratory rate of 22 breaths per minute, blood pressure of 105/50 mmHg and an oxygen saturation of 93% on roo...

BACKGROUND Tube thoracostomy is a lifesaving and frequently performed procedure in hospitals where the expertise and necessary tools are available. Where the ideal drainage receptacle is unavailable, the underwater seal device can be improvised with bottled water plastic can especially in emergency situations. AIMS AND OBJECTIVES To determine the frequencies of the various indications and com...

Patients with acquired immune deficiency syndrome (AIDS) do not frequently have pleural complications. However, pneumothorax is a troublesome complication of patients with AIDS. At some medical centres, more than 50% of patients with spontaneous pneumothorax have AIDS. Most patients with spontaneous pneumothorax and AIDS have Pneumocystis carinii infection and necrotic subpleural blebs. The pne...

BACKGROUND Point-of-care ultrasound (POC-US) use is increasingly common as equipment costs decrease and availability increases. Despite the utility of POC-US in trained hands, there are many situations wherein patients could benefit from the added safety of POC-US guidance, yet trained users are unavailable. We therefore hypothesized that currently available and economic 'off-the-shelf' technol...

Aim: In pneumothorax, which is one of the life-threatening emergencies, early diagnosis and appropriate treatment are important to reduce complications mortality. Treatment provided by evacuation air from pleural space with underwater drainage using needle thoracentesis or fine catheter tube thoracostomy techniques. Material Methods: Between March 2014 2021, neonatal intensive care unit medical...

BACKGROUND Tube thoracostomy (TT) is the most commonly performed surgical procedure in thoracic surgery clinics. The procedure might have to be repeated due to ineffective drainage in patients with tube malposition (TM), in whom the drain is not directed to the apex or located in the fissure. Trocar technique, which is used to prevent TM, is not recommended because of its potential for severe c...

The aim of this prospective study was to determine the rate of recurrence for spontaneous pneumothorax (SP) after tetracycline pleurodesis (TCP), using that of observation, tube thoracostomy alone, and thoracotomy as references. From 1985 to the end of 1991, 78 patients were treated with tetracycline pleurodesis and 135 patients served as control subjects. Pleurodesis was induced by instillatio...