A one-piece unit for treatment of pneumothorax complicating needle biopsy: evaluation in 10 patients.

Molina, P. L.; Solomon, Steven L.; Glazer, Harvey; Sagel, Stuart S.; Anderson, D J

doi:10.2214/ajr.155.1.2112860

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…Small-caliber intercostal catheters (8 French) were used successfully in each of the four patients who required drainage of their PTX. This reinforces the previously reported observations that smallbore percutaneous catheters can effectively and easily treat post-biopsy PTX (16,17).…”

Section: Discussionsupporting

confidence: 92%

Delayed chest radiographs and the diagnosis of pneumothorax following CT-guided fine needle aspiration of pulmonary lesions

Byrd¹,

Fields-Ossorio²,

Roy³

1999

Respiratory Medicine

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We prospectively studied 64 consecutive patients on whom computerized tomography-guided fine needle aspirations (CT-FNA) of pulmonary lesions were performed to determine whether obtaining a delayed chest radiography (CXR) after CT-FNA is helpful in the diagnosis of post-procedure pneumothorax (PTX). Two of the 64 patients developed a delayed PTX. Only one of the patients with a delayed PTX required chest tube drainage. If patients have no evidence of a PTX immediately after a CT-FNA by CT scan then a delayed CXR adds little to care of these patients.

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Section: Discussionsupporting

confidence: 92%

Delayed chest radiographs and the diagnosis of pneumothorax following CT-guided fine needle aspiration of pulmonary lesions

Byrd¹,

Fields-Ossorio²,

Roy³

1999

Respiratory Medicine

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“…The use of these small‐calibre chest tubes in the treatment of pneumothoraces was initially described by Sargent and Turner 5 for pneumothoraces that occurred following percutaneous needle aspiration biopsy of lung lesions. Subsequently, the efficacy of these smaller catheters has been confirmed by other series in this particular clinical setting, with reported success rates as high as 83−93% 6−9 …”

Section: Introductionmentioning

confidence: 72%

Comparison of large‐ and small‐bore intercostal catheters in the management of spontaneous pneumothorax

Vedam

Barnes

2003

Internal Medicine Journal

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Background: The prevalence of obstructive sleep apnoea (OSA) of individuals with Class III obesity (BMI ≥ 40) is usually over 70%. 1,2 ACT Health Obesity Management Service (OMS) commenced in 2014, but there were no referrals for polysomnography (PSG) for over 12 months. The investigation for sleep disordered breathing was initiated after a sleep physician joined the OMS in June 2015. The aims of this study are to describe the characteristics of a Class III obesity cohort who had sleep studies requested by ACT Health OMS physicians, to improve the positive predictive value and to assess referral rates of sleep studies after 12 months. Method: Retrospective chart review and descriptive analysis of the patients who attended ACT Health OMS and had diagnostic PSG in the 12 months between September 2015 and August 2016. Results: Four hundred and one patients were seen by physicians in OMS during this period and 46 patients (11.5%) had diagnostic PSG performed as they were considered to be at high risk of OSA by OMS physicians. 87% of patients referred for PSG by OMS physicians had OSA. There was also a high prevalence of multiple co-morbidities particularly anxiety/ depression, hypertension and arthritis similar to previous study. Five (10.9%) patients were previously diagnosed with OSA but not treated. 60.9% of these patients had Patient Health Questionnaire (PHQ-9) scored consistent with moderate or severe depression. The rate of smoking and alcohol consumption of OMS PSG patients was significantly lower than average Australian population of same age group. 39% of patients had subjective daytime sleepiness as measured by the Epworth Sleepiness Scale and this was not related to severity of OSA. OMS physicians did not record sleep-related symptoms in a large proportion of patients. Presence of sleep-related symptoms such as snoring, witnessed apnoea, frequency of wake and unrefreshed sleep were correlated with OSA diagnosis. Sleep latency of more than 1 h and daytime naps were not statistically related to OSA. Conclusions: This study showed that OMS physicians often did not record sleep-related symptoms and refer only a small proportion of the patient cohort for PSG. The prevalence of OSA is high in patients with Class III obesity and routine screening for sleep-related symptoms and referral for PSG where appropriate is recommended. Routine application of OSA symptom questionnaire such as OSA-50 or STOP-Bang may also be of value in this clinical setting. References 1. O'Keeffe T, Patterson EJ. Evidence supporting routine polysomnography before bariatric surgery. Obes Surg2004 Jan; 14: 23-26. 2. Lopez PP et al. Prevalence of sleep apnea in morbidly obese patients who presented for weight loss surgery evaluation: more evidence for routine screening for obstructive sleep apnea before weight loss surgery. Background: Pleural diseases are one of the most common clinical problems encountered worldwide. Large-bore (LB) intercostal tube (ICT; e.g. >20 F) drainage has been the standard of care in the management of pleural dis...

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“…Multiple studies are available addressing the use of small-bore catheters in the setting of a pneumothorax. 38,47,48,[56][57][58][59][60] The problems with small-bore catheters have included occluded three-way stop cocks, 56 dislodged catheters, 56 air leaks exceeding the capacity of the catheter, 47,56,59 and pleural fluid occlusion. 47 Further complicating the issue of smallbore catheters is the definition of "small bore."…”

Section: Chest Tube (Tube Thoracostomy)mentioning

confidence: 99%

Treatment of Spontaneous Pneumothorax

Baumann

Strange

1997

Chest

152

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A one-piece unit for treatment of pneumothorax complicating needle biopsy: evaluation in 10 patients.

Cited by 9 publications

References 5 publications

Delayed chest radiographs and the diagnosis of pneumothorax following CT-guided fine needle aspiration of pulmonary lesions

Delayed chest radiographs and the diagnosis of pneumothorax following CT-guided fine needle aspiration of pulmonary lesions

Comparison of large‐ and small‐bore intercostal catheters in the management of spontaneous pneumothorax

Treatment of Spontaneous Pneumothorax

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