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...

Methods: In this randomized-controlled pilot, surgery residents (n=14) participated in standardized thoracostomy tube placement (SimMan) and bronchoscopy (EndoscopyVR) simulation scenarios. Traditional vital-sign monitors were available 90 degrees from the operative field during all procedures, and residents were additionally randomized with or without continuous wireless vital-sign streaming t...

Intrapleural instillation of thrombolytic agents has been useful in the treatment of hemothorax when thoracostomy tube drainage is unsuccessful. We present a patient who developed acute hypoxemic respiratory failure following the intrapleural instillation of both streptokinase and urokinase 24 h apart. Hypoxemia most likely resulted from a direct effect of the products of fibrinolysis on the pu...

OBJECTIVE To determine the insertional and positional complications encountered by the placement of intercostal chest drains (ICDs) for trauma and whether further training is warranted in operators inserting intercostal chest drains outside level 1 trauma unit settings. METHODS Over a period of 3 months, all patients with or without an ICD in situ in the front room trauma bay of Tygerberg Hos...

Lung volume reduction surgery (LVRS) has recently been introduced as a palliative treatment for patients with severe emphysema. The most common postoperative complication is persistent air leak requiring prolonged tube thoracostomy. We describe a unique case of a patient with severe emphysema who underwent LVRS and presented, about a year later, with the repeated expectoration of surgical staples.

BACKGROUND Mortality from thoracic injuries has declined significantly from 63% in the Civil War to 3% in Vietnam. We reviewed the injury patterns, procedures, blood products, and mortality of US soldiers sustaining a thoracic injury during Operation Enduring Freedom and Iraqi Freedom (OEF/OIF). METHODS Data on US soldiers with a thoracic injury during OEF/OIF from January 2003 to May 2011 wa...