Malpositioning is one of the most common complications of chest tube insertion and is associated with increased morbidity and mortality. We present two cases of patients with chronic obstructive pulmonary disorder (COPD) in whom malpositioned chest tubes penetrated through the anterior mediastinum to the contralateral pleural cavity, and were later removed without complications. Both patients h...

Twelve patients with a chest tube positioned in the major fissure of either lung were collected prospectively in a two-year period. In eight of these 12, there was evidence of chest tube malfunction, with poor drainage of pleural air or fluid collections; in six of these eight, placement of additional tubes or tube repositioning resulted in improved pleural drainage. In all 12, the tube had bee...

background: to determine factors that predicts icu and ward stay during hospitalization for coronary artery surgery. methods: data were collected retrospectively from 200 patients. icu and ward stay time was divided into two groups and compared by x 2 and t test and variables with a p value of less than 0.1 were included in logistic regression model. specificity and sensitivity of tests were ex...

OBJECTIVES Lobectomies done by video-assisted thoracic surgery (VATS) result in fewer complications and less pain and save total costs compared with the traditional approach. However, the majority of procedures are still performed via open thoracotomies, because VATS lobectomy is considered difficult to learn, requiring experience in open surgery, and causing complications in the initial phase ...

A 78-year-old alert woman in hospital was being fed through a nasogastric tube because of deconditioning. She was taking acetylsalicylic acid for ischemic cardiomyopathy, and a vitamin K antagonist for atrial fibrillation and a recent axillobifemoral bypass thrombosis. She had a permanent right-side nephrostomy after receiving an injury to the ureter during the bypass surgery. She did not have ...

IMPORTANCE Tympanostomy tube removal is a commonly performed pediatric procedure. Few studies have evaluated whether removal technique influences the likelihood of the tympanic membrane (TM) to heal. OBJECTIVE To determine whether the technique used for tympanostomy tube removal affects the likelihood of persistent TM perforation healing in children. DESIGN, SETTING, AND PARTICIPANTS Retros...

Abstract A 30-year-old gentleman presented with complaints of fever, productive cough, and shortness breath for 10 days. On presentation, he had a right intercostal drainage tube (ICD) in situ view chest radiograph findings where hydropneumothorax was suspected. He past history pulmonary tuberculosis 3 years back which self-discontinued anti-tubercular therapy after months. also diagnosed 2 asp...

This patient presented with a left sided pneumothorax. A chest tube was inserted and subsequent chest X-rays showed re-expansion of the left lung. Follow-up chest computed tomography (CT) revealed a soft tissue emphysema and a malpositioned chest tube. However, something odd was also noted in the CT.

INTRODUCTION To compare postoperative prophylactic use of two positive end-expiratory pressure (PEEP) levels in order to prevent postoperative bleeding in patients undergoing off-pump coronary artery bypass grafting (CABG) surgery. MATERIAL AND METHODS Sixty patients undergoing an elective off-pump CABG operation were included in this prospective, nonrandomized clinical trial. Patients were d...

UNLABELLED INTRODUCTION Despite progress in reconstructive techniques, rebuilding portions of the thorax remains challenging, in particular when large resections, contamination or infection are involved. No other cases of thoracic reconstruction in trauma patients with biological prosthesis have been described since now. METHODS We report a case of thoracic reconstruction in highly infecte...