Insufficient control of post-thoracotomy pain can produce breathing dysfunction and long term staying in neonatal intensive care unit (NICU). It can increase the incidence of pulmonary complications such as atelectasis, pneumonia and respiratory failure. The aim of this study was to determine the analgesic effect of continuous extrapleural nerve block, using ropivacaine, in neonates younger tha...

BACKGROUND Resuscitative thoracotomy is a heroic procedure that may offer the only survival hope for trauma patients in extremis. However, this operation has been the subject of much debate and its use, feasibility, outcomes, and cost are being continuously re-evaluated. METHODS This is a review of the most current (after 2000) literature on resuscitative thoracotomy, based on computer databa...

Thoracoscopy is increasingly being used for diagnosis and treatment of pleuropulmonary disease. The recent revival was made possible by the tremendous advances in endoscopic technology. The main requirements for diagnostic purposes are rigid telescopes and forceps, and for interventional thoracoscopy scissors, staplers and a video recorder. The procedure can be performed either under local or g...

Various surgical procedures are performed for benign and malignant esophageal lesions. These procedures include transthoracic esophageal resection through a right or left thoracotomy and transhiatal blunt esophageal resection (esophagectomy) without thoracotomy. The whole stomach, colon, gastric tube, jejunum, and free revascularized grafts may be used as substitutes for the resected esophagus....

Objective: To compare the length of hospital stay, duration chest tube drainage use, conversion to open thoracotomy and post-injury infections between Early VATS Late groups.
 Study Design: Cross-sectional comparative study.
 Place Duration Study: Department surgery Benazir Bhutto Hospital, Rawalpindi Pakistan, from Oct 2020 till Sep 2022.
 Methodology: Sixty-two patients undergo...

Dear Sir, In the April 1950 edition of your Journal, Dr. Esplen illustrated a metal anaesthetic screen for use in thoracotomies in the lateral position. I agree that such a screen is essential to maintain a good view of the patient's airway, and more particularly to facilitate bronchoscopy without disturbing the operative field should it become necessary during operation. Such a screen can well...

In 20 adult patients (18 male) who presented for thoracotomy, the trachea was intubated using Mallinckrodt disposable double-lumen tubes (18 large and two medium). The endobronchial cuff was inflated by a trained operating department assistant using an air-filled syringe. The volume of air and the initial endobronchial cuff pressure were measured. The minimum cuff pressure required to prevent r...

Abstract Background Despite advances in antimicrobial therapy and a range of drainage techniques for the infected pleural area, thoracic empyema continues to be serious reason behind morbidity mortality. Although chest ultrasonography has been found an efficient diagnostic tool effusion features, it is rarely utilized predict outcomes illnesses. Aim work To determine impact sonographic patterns...

Post-thoracotomy pain is a symptom of high incidence among patients who have undergone thoracotomy and is a major risk factor in the pathogenesis of several postoperative complications. Chronic pain after thoracotomy reaches a high prevalence. Since the earliest studies, this pain has been seen to be related with intercostal nerve injury, thus the need to avoid these lesions during thoracotomy ...

OBJECTIVES The indications for emergency thoracotomy are controversial for blunt trauma. The best results were seen in those patients who were stable enough to undergo thoracotomy in the operating theatre and survived the operation. METHODS The hospital records of 29 patients who underwent emergency thoracotomy for blunt thoracic trauma were reviewed. RESULTS Of 964 patients with thoracic t...