BACKGROUND Intra-operative air leaks (IOAL) are common complications of pulmonary surgery. The post-operative management of air leaks requires a chest tube which may lead to longer hospitalization, further medical complications, and increased costs. Sealants have been shown to help control intra-operative air leaks and studies have demonstrated a reduction in chest tube duration and/or length o...

BACKGROUND Although several studies have investigated the association between maternal exposure to air pollution and preterm birth, the results are inconsistent. The aim of this study was to further investigate the relation between maternal exposure to ambient air pollution during pregnancy and the risk of preterm birth and low birth weight (LBW) in an Iranian pregnant population. MATERIALS A...

INTRODUCTION Spontaneous pneumomediastinum is defined as the presence of free air in the mediastium in the absence of any obvious precipitating cause. The purpose of this study was to review our experience with this condition, discuss mechanisms and provide a management algorithm. METHODS A retrospective audit of patients admitted with spontaneous pneumomediastinum between 2003 and 2008 was p...

A 14-year-old girl presented with sudden onset breathlessness associated with swelling over the face, chest and upper limbs. The breathlessness developed after a single bout of cough and progressed within a few minutes. On examination the patient was breathless with a pulse rate of 112 bpm, blood pressure of 106/76 mmHg, respiratory rate of 35 breaths/min and was afebrile. The face, chest and u...

introduction preterm birth is still a major health problem throughout the world. preterm birth results in 75% of neonatal mortality. we sought to identify risk factors which cause preterm birth. materials and methods this cross-sectional study assessed all preterm neonates born in asali hospital in khorram abad (either by nvd or c/s) during the first 6 months of 2007. sampling method was census...

Pneumopericardium, an accumulation of air in the pericardial cavity, occurs very rarely as compared to pneumothorax and pneumomediastinum. Clinical presentation is variable, patients are frequently asymptomatic, and mild cases usually resolve spontaneously. However, it may lead to pericardial tamponade, which requires rapid diagnosis and treatment that can be lifesaving. The traditional diagnos...

Background: In recent years, various noninvasive respiratory support (NRS) of ventilation has been provided more in neonates. The aim of this study was to compare the effect of HFNC with NCPAP in post-extubation of preterm infants with RDS after INSURE method (intubation, surfactant, extubation).Methods: A total of 54 preterm infants with RDS (respiratory distress syndrome) were enrolled in thi...

Chronic dyspnea of pulmonary origin raises concern for chronic obstructive pulmonary disease or interstitial lung disease. A chest radiograph is recommended as the initial imaging study. When chest radiography is nonrevealing or provides no definitive diagnosis, a high-resolution chest computed tomography is indicated. The high-resolution chest computed tomography should include expiratory imag...

OBJECTIVE To determine the removal time of the chest tube in ICU trauma patients under positive ventilation pressure (PVP). METHODS This was randomized clinical trial being performed in ICU department of Rajaei trauma hospital from March to December 2011. A total number of 92 trauma patients who were admitted in ICU and were under ventilation and had chest tube were randomly assigned into two...

To cite: Wang S, Jiao Y. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-201453 DESCRIPTION A 50-year-old woman presented to our department with a 6-year history of recurrent dyspnoea and cough. Six year ago she started to have external ear and nasal pain, episcleritis and dyspnoea. She was diagnosed with relapsing polychondritis (RP). Her disease was under ...