BACKGROUND The objective of this randomised trial was to assess the effectiveness of a new fast-track chest tube removal protocol taking advantage of digital monitoring of air leak compared to a traditional protocol using visual and subjective assessment of air leak (bubbles). METHODS One hundred and sixty-six patients submitted to pulmonary lobectomy for lung cancer were randomised in two gr...

A 61-year-old alcoholic man presented to the emergency department because of vomiting and dyspnea after discharged from hospital due to appendectomy two days ago. He smoked heavily and his past medical history revealed gastritis. On the examination, he was hypotension (50/00 mmHg) and lethargy. Cardiopulmonary resuscitation was initiated aggressively. His chest x-ray showed right-sided tension ...

56 y/o M with PMHx of Osteochondroma presented with 2 weeks dyspnea, generalized weakness and fever. Patient initially believed he had viral syndrome and did not seek medical attention. He had sore throat a week prior to onset of his symptoms. On presentation to the Emergency Department, he was in respiratory failure. He was transiently placed on NIPPV and admitted to ICU. He had CT chest which...

A 62-year-old woman developed shock immediately after the insertion of a right-sided chest tube. A chest roentgenogram showed the chest tube to be overlying the heart and possibly compressing the right ventricle. An animal model was developed to replicate this clinical situation. Using a domestic goat model pulmonary artery, peripheral arterial catheters were inserted along with a right sided c...

Background: Exposure conditions in CT examinations are quite different from conventional Xray. In CT examination higher dose is given to patient in comparison with the dose in other diagnostic examinations. In order to calculate organ effective dose in chest CT, Monte Carlo simulation has been used in this study. Materials and Methods: The Impact survey data were used to determine the ...

To cite: Kniese CM, Jan MY, Diab K. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015211238 DESCRIPTION A 20-year-old woman with a history of morbid obesity secondary to Prader-Willi syndrome and recent acute-on-chronic respiratory failure requiring tracheostomy placement presented to the emergency department of a regional hospital with respiratory distress and...

Approximately 3.5 million units of platelets are transfused in the United States each year to patients undergoing open-heart surgery with cardiopulmonary bypass (CPB). CPB is a known contributor to platelet loss and platelet dysfunction leading to disruption of hemostasis. Impaired hemostasis results in excess bleeding in 5-25% of all patients undergoing CPB. For this reason, it may be benefici...

BACKGROUND Although posterior correction and fusion surgery using pedicle screws carries the risk of vascular injury, a massive postoperative hemothorax in a patient with adolescent idiopathic scoliosis (AIS) is quite rare. We here report a case of a 12-year-old girl with AIS who developed a massive postoperative hemothorax. CASE PRESENTATION The patient had a double thoracic curve with Cobb ...

Background Pleural drainage is required after pulmonary lobectomy to evacuate air-leak and fluid. We compared the performance of the new Redax® Coaxial Drain (CD) (Redax, Mirandola, Italy) with a standard chest tube (CT) in terms of fluid and air-leak evacuation. Methods Fifty-two patients receiving a 24-F CD under water-seal after pulmonary lobectomy through open surgery or video-assisted th...

OBJECTIVE To assess the advantages of Adaptive Iterative Dose Reduction using Three Dimensional Processing (AIDR3D) for image quality improvement and dose reduction for chest computed tomography (CT). METHODS Institutional Review Boards approved this study and informed consent was obtained. Eighty-eight subjects underwent chest CT at five institutions using identical scanners and protocols. D...