Bet 1: Is a Chest Drain Necessary in Stable Patients With Traumatic Pneumothorax?

Symington, L; McGugan, Elizabeth

doi:10.1136/emj.2008.061671

Cited by 10 publications

(6 citation statements)

References 3 publications

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“…In stable patients, conservative management can be safe and effective for small pneumothorax (less than 15% of the lung field or less than 2.5 cm in size on chest X-ray) [6] , [7] , [8] . They resolve by resorption at a rate of 1.25% per day [5] .…”

Section: Discussionmentioning

confidence: 99%

Large pneumothorax in blunt chest trauma: Is a chest drain always necessary in stable patients? A case report

Idris¹,

Hefny²

2016

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Large pneumothorax in blunt chest trauma: Is a chest drain always necessary in stable patients? A case report

Idris¹,

Hefny²

2016

International Journal of Surgery Case Reports

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“…Some found that not only small, but also moderate-sized traumatic pneumothoraces could be managed without CTD, in the absence of other significant injuries or respiratory compromise[15,36]. Some suggested that occult pneumothorax patients with positive pressure ventilation (PPV) would need CTD [18], whereas some observed that all occult traumatic pneumothoraces could be managed safely without CTD [37].…”

Section: Discussionmentioning

confidence: 99%

“…The observations in refs. [15,36] considered the influence of clinical parameters of RibFx, Systolic BP, HR, and Hct (cf. Table 1) as integrative indictors of patient stability for management of small and medium pneumothorax, as indicated in Study IV.…”

Section: Discussionmentioning

confidence: 99%

MDCT quantification is the dominant parameter in decision-making regarding chest tube drainage for stable patients with traumatic pneumothorax

Cai¹,

Lee²,

Fikry³

et al. 2012

Computerized Medical Imaging and Graphics

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It is commonly believed that the size of a pneumothorax is an important determinant of treatment decision, in particular regarding whether chest tube drainage (CTD) is required. However, the volumetric quantification of pneumothoraces has not routinely been performed in clinics. In this paper, we introduced an automated computer-aided volumetry (CAV) scheme for quantification of volume of pneumothoraces in chest multi-detect CT (MDCT) images. Moreover, we investigated the impact of accurate volume of pneumothoraces in the improvement of the performance in decision-making regarding CTD in the management of traumatic pneumothoraces. For this purpose, an occurrence frequency map was calculated for quantitative analysis of the importance of each clinical parameter in the decision-making regarding CTD by a computer simulation of decision-making using a genetic algorithm (GA) and a support vector machine (SVM). A total of 14 clinical parameters, including volume of pneumothorax calculated by our CAV scheme, was collected as parameters available for decision-making. The results showed that volume was the dominant parameter in decision-making regarding CTD, with an occurrence frequency value of 1.00. The results also indicated that the inclusion of volume provided the best performance that was statistically significant compared to the other tests in which volume was excluded from the clinical parameters. This study provides the scientific evidence for the application of CAV scheme in MDCT volumetric quantification of pneumothoraces in the management of clinically stable chest trauma patients with traumatic pneumothorax.

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“…If there is concern for a pneumothorax and the athlete is hemodynamically stable, an upright chest radiograph should be obtained during expiration to make the pneumothorax easier to identify. Management is conservative for stable patients with a small pneumothorax [ 69 ]. Serial radiographs monitor for resolution while supplemental oxygen may improve recovery [ 13 , 66 ].…”

Section: Chestmentioning

confidence: 99%

Medical Sports Injuries in American Football Players

Matusak

Yau

Fibel

2023

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Most injuries in American football are orthopedic, but the medical team must also be prepared to recognize and manage injuries beyond the musculoskeletal system that may result from trauma to the face, chest, abdomen, and pelvic regions. Failure to promptly identify such injuries in athletes can be life-threatening or permanently disabling. The literature on many of the nonorthopedic sports injuries is limited but can aid in understanding injury presentation, imaging modalities of choice, and initial management. Safe return-to-play decision-making requires a thoughtful approach through the use of available data and an understanding of pathophysiology and tissue healing.

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Bet 1: Is a Chest Drain Necessary in Stable Patients With Traumatic Pneumothorax?

Cited by 10 publications

References 3 publications

Large pneumothorax in blunt chest trauma: Is a chest drain always necessary in stable patients? A case report

Large pneumothorax in blunt chest trauma: Is a chest drain always necessary in stable patients? A case report

MDCT quantification is the dominant parameter in decision-making regarding chest tube drainage for stable patients with traumatic pneumothorax

Medical Sports Injuries in American Football Players

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