INTRODUCTION In cases of empyema, some form of intervention, either chest tube drainage, thoracoscopy, video-assisted thoracic surgery (VATS), or thoracotomy, with or without pleural fibrinolysis, is required. What the best approach is and when and how to intervene is a matter of debate. STUDY OBJECTIVE To analyze the safety and outcome of medical thoracoscopy in the treatment of multiloculat...

A patient who had a permanent tracheostomy needed to be anaesthetized for thoracotomy. Anticipated difficulty with airway and lung control did not occur following successful intubation via the tracheostomy with a Robertshaw double-lumen tube.

To review our experience in treatment of patients with thoracic empyema at a teaching hospital chart of patients were retrospectively reviewed over a 72-month period. A total of 112 patients (94 men, 18 women, mean age: 39, range: 6-89 years) underwent therapeutic procedures for thoracic empyema between 2001-2006. The causes of empyema included parapneumonic empyema (60.7%), thoracic trauma (20...

Results The study included 10,200 patients; all were having firearm injuries leading to hemopneumothorax. Male to female ratio was 2:1. All patients were initially managed with tube thoracostomy. 400/10200 (3.92%) patients underwent emergency Thoracotomy, Rest of the patients i.e. 9801/10200 (96.07%) were hemodynamically stable and treated with low pressure suction and incentive spirometry. In ...

a 37 - year- old man came to the hospital with a history of penetrating thoracoabdominal trauma due to gunshot wound in 10 days before. he underwent laparatomy and hepatorrhaphy in that time and right sided chest tube was inserted. chest ct scan revealed metallic foreign body in lung tissue due to bullet burst. right thoracotomy was performed and metallic foreign body extracted from lung tissue

BACKGROUND There are several studies reporting high success rates for surgical and nonsurgical treatments of empyema separately. The aim of current retrospective cohort study is to find the best treatment in low socio-economic areas. MATERIAL AND METHODS A total of 149 patients were treated in the referring hospital from January 2002 to December 2008. The current retrospective cohort study wa...

Traumatic hemothorax/pneumothorax; is a pathological condition seen in blunt and sharp thoracic traumas can generally be treated by tube thoracostomy. While patients are being followed up with thoracotomy, analgesics support, respiratory exercise support; emergency thoracotomy usually not required. Early thoracoscopy method that has come to the fore recent years. This known have therapeutic dia...

During insertion of the double lumen tube in patients with ankylosing spondylitis, cervical neutral position should be maintained to avoid vertebral and spinal injuries. Although flexible fiberoptic bronchoscopic intubation is the gold standard, available FOB size is not compatible with that of the endobronchial lumen of the double lumen tube. This problem should be solved according to institut...

a 25-year-old man was admitted in hospital due to right side hemopneumothorax secondary to car accident. a chest tube was inserted. during the hospitalization days, chest ct scan revealed a 3cmx3 cm oval-shaped density located in the right upper lobe. since he was in a good general condition, he was discharged from hospital after removal of chest tube and a follow-up chest ct-scan was recommend...

Our study shows the different therapeutic procedures in 64 patients with pleural effusion due to MRSA pneumonia. The thoracostomy tube associated with pleural washing was decisive in 10 simple effusion patients. Video-assisted thoracic surgery allowed a complete resolution of the disease in 22 complex parapneumonic effusion patients. In 20 of 32 patients with frank pus in the pleural cavity, th...