Pneumothorax Latest Topicshttps://pediatricsurgeryclub.com/forum/184-pneumothorax/Pneumothorax Latest TopicsenBlebs location in spontaneous pneumothoraxhttps://pediatricsurgeryclub.com/topic/3198-blebs-location-in-spontaneous-pneumothorax/4E046C91-CA6C-4720-830B-5881A2C1129E.jpg.3b7e6baff3e745fed5df44bcf3be4fb8.jpg]]>3198Tue, 06 Aug 2024 08:54:20 +000028/7/2024https://pediatricsurgeryclub.com/topic/3195-2872024/A 17-year-old boy presents with sudden onset of right pleuritic chest pain. His HR is 70 bpm and his oyxgen saturation is 98% on room air. He is comfortable, speaking in full sentences, and has decreased breath sounds on the right. His CXR is shown.

 

repview(3).jpg.02feaa9f30555c05a38f6e2a97aaa37b.jpg

 

[size=20px]While observed in the ER, the patient’s condition remains the same 4 hours later. What is the most appropriate management?

 

A Repeat CXR

 

B Obtain chest CT scan

 

C Rigid bronchoscopy

 

D Place pigtail chest tube and place to suction

 

E Insert pigtail chest tube and place to water seal[/size]

]]>3195Sun, 28 Jul 2024 10:40:13 +0000Thoracoscopic treatment of spontaneous pneumothoraxhttps://pediatricsurgeryclub.com/topic/1669-thoracoscopic-treatment-of-spontaneous-pneumothorax/see in next post]]>1669Tue, 01 Dec 2020 13:58:47 +0000Indications for Thoracoscopic Approach to Treat Spontaneous Pneumothoraxhttps://pediatricsurgeryclub.com/topic/3022-indications-for-thoracoscopic-approach-to-treat-spontaneous-pneumothorax/555202FE-83B9-4909-9B47-737B70D69782.jpg.6f2e1adb43c4c81fd7c9634e41426cee.jpg]]>3022Thu, 26 Oct 2023 15:39:42 +0000Thoracoscopic Resection of the Apex of the Lung in Spontaneous Pneumothoraxhttps://pediatricsurgeryclub.com/topic/2012-thoracoscopic-resection-of-the-apex-of-the-lung-in-spontaneous-pneumothorax/this video shows thoracoscopic, stapling resection of the apex of the lung in a 15 year old boy with spontaneous pneumothorax and pleural wall electro-scarification.

see high quality video in next post

 

2021-04-28_12-40-26.gif.939b0f91f5a47f48616c1f84e423b648.gif

]]>2012Wed, 28 Apr 2021 09:41:30 +0000spontaneous pneumothorax managementhttps://pediatricsurgeryclub.com/topic/2826-spontaneous-pneumothorax-management/repview.jpg.9ea701c7f7b1d9594465137310cd607f.jpg]]>2826Sun, 22 Jan 2023 13:46:18 +0000American vs British in INITIAL management of spontaneous pneumothoraxhttps://pediatricsurgeryclub.com/topic/1909-american-vs-british-in-initial-management-of-spontaneous-pneumothorax/106901628_1136634706709778_9155445073142088117_n.jpg.b05fbdc8915edfa244a2b067dc3393e7.jpg]]>1909Mon, 15 Mar 2021 07:11:36 +0000primary spontaneous pneumothoraxhttps://pediatricsurgeryclub.com/topic/1886-primary-spontaneous-pneumothorax/repview(8).png.jpg.a835d57d6dc55b6228fef07a85c37c6a.jpg]]>1886Thu, 11 Mar 2021 12:46:38 +0000pneumothoraxhttps://pediatricsurgeryclub.com/topic/1679-pneumothorax/A three-month old male undergoes uncomplicated closure of a ventricular septal defect. On postoperative day three he develops a right pneumothorax

 

[center]repview(3).png.jpg.da2f4114573490c1a0f95faae8c9217b.jpg[/center]

 

 

 

tube thoracostomy is placed and another radiogrpah is obtained.

 

[center]repview(4).png.jpg.22cd4ff51eb05a43b3716c10b4a33f04.jpg[/center]

 

 

 

 

[size=20px]Despite complete lung re-expansion, the infant has decreasing oxygen saturation and increased work of breathing. Your treatment plan for this infant with hypoxemia and a pneumothorax is

 

A placement of left thoracostomy tube.

 

B placement of second right thoracostomy tube.

 

C cannulation for extracorporeal life support.

 

D intubate if needed and provide appropriate supportive critical care.

 

E right thoracotomy.[/size]

]]>1679Fri, 04 Dec 2020 08:07:58 +0000