BODY: A 2-month old, 4.1-kg baby girl was scheduled for right thoracotomy and lobectomy for congenital lobar emphysema. On preoperative physical exam, she was noted to be awake and tachypneic but not cyanotic. Her vital signs showed a blood pressure of 88/50, pulse rate of 110, respiratory rate of 58 with an oxygen saturation of 95% on 1 liter per minute of oxygen via nasal cannula. There was a...

We have reported previously that there is a high incidence of hemothorax and substantial mortality in rabbits that are given tetracycline derivatives intrapleurally. However, such complications have not been reported in humans when pleurodesis is attempted with tetracycline derivatives. One primary difference in the two situations is that a chest tube is placed only in humans. The objective of ...

A 93-year-old woman who had been a pedestrian was brought to the emergency department after a road traffic accident. On arrival, the patient was conscious and hemodynamically stable with a respiratory rate of 14 breaths/min, pulse rate of 81 beats/min, blood pressure of 141/46 mmHg. The physical examination revealed multiple limb injuries in addition to tenderness on palpation of the right ches...

We report a case of herniation of abdominal contents into the left hemithorax in a patient with a history of vague left-sided thoracoabdominal trauma 18 days previous to admission and who also had a recent 1-week history of upper respiratory symptoms, including cough, and then presented with dyspnoea and fever for 3 days. There was no preceding cardiorespiratory pathology of note. We also discu...

OBJECTIVES In fast-track pulmonary resections, we removed chest tubes after video-assisted thoracic surgery (VATS) lobectomy with serous fluid production up to 500 ml/day. Subsequently, we evaluated the frequency of recurrent pleural effusions requiring reintervention. METHODS Data from 622 consecutive patients undergoing VATS lobectomy from January 2009 to December 2011 were registered prosp...

The purpose of this study was to retrospectively evaluate the quantitative and qualitative intrapatient concordance pulmonary nodule risk assessment by commercially available radiomics software between full-dose (FD) chest-CT ultra-low-dose (ULD) chest CT. Between July 2013 September 2015, 68 patients (52 men and16 women; mean age, 65.5 ± 10.6 [SD] years; range: 35–87 years) with lung nodules ≥...

Children are at greater risk of radiation exposure than adults because the rapidly dividing cells of children tend to be more radiosensitive and they have a longer expected life time in which to develop potential radiation injury. Some studies have surveyed computed tomography (CT) radiation doses and several studies have established diagnostic reference levels according to patient age or body ...