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Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture
This paper reports a rare iatrogenic complication of acupuncture-induced haemothorax and comments on the importance and need for special education of physicians and physiotherapists in order to apply safe and effective acupuncture treatment. A 37-year-old healthy woman had a session of acupuncture t...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4483786/ https://www.ncbi.nlm.nih.gov/pubmed/25791844 http://dx.doi.org/10.1136/acupmed-2014-010700 |
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author | Karavis, Miltiades Y Argyra, Erifili Segredos, Venieris Yiallouroy, Aneza Giokas, Georgios Theodosopoulos, Thedosios |
author_facet | Karavis, Miltiades Y Argyra, Erifili Segredos, Venieris Yiallouroy, Aneza Giokas, Georgios Theodosopoulos, Thedosios |
author_sort | Karavis, Miltiades Y |
collection | PubMed |
description | This paper reports a rare iatrogenic complication of acupuncture-induced haemothorax and comments on the importance and need for special education of physicians and physiotherapists in order to apply safe and effective acupuncture treatment. A 37-year-old healthy woman had a session of acupuncture treatments for neck and right upper thoracic non-specific musculoskeletal pain, after which she gradually developed dyspnoea and chest discomfort. After some delay while trying other treatment, she was eventually transferred to the emergency department where a chest X-ray revealed a right pneumothorax and fluid collection. She was admitted to hospital and a chest tube inserted into the right hemithorax (under ultrasound guidance) drained 800 mL of bloody fluid (haematocrit (Hct) 17.8%) in 24 h and 1200 mL over the following 3 days. Her blood Hct fell from 39.0% to 30.8% and haemoglobin from 12.7 to 10.3 g/dL. The patient recovered completely and was discharged after 9 days of hospitalisation. When dyspnoea, chest pain and discomfort occur during or after an acupuncture treatment, the possibility of secondary (traumatic) pneumo- or haemopneumothorax should be considered and the patient should remain under careful observation (watchful waiting) for at least 48 h. To maximise the safety of acupuncture, specific training should be given for the safe use of acupuncture points of the anterior and posterior thoracic wall using dry needling, trigger point acupuncture or other advanced acupuncture techniques. |
format | Online Article Text |
id | pubmed-4483786 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-44837862015-07-10 Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture Karavis, Miltiades Y Argyra, Erifili Segredos, Venieris Yiallouroy, Aneza Giokas, Georgios Theodosopoulos, Thedosios Acupunct Med Case Report This paper reports a rare iatrogenic complication of acupuncture-induced haemothorax and comments on the importance and need for special education of physicians and physiotherapists in order to apply safe and effective acupuncture treatment. A 37-year-old healthy woman had a session of acupuncture treatments for neck and right upper thoracic non-specific musculoskeletal pain, after which she gradually developed dyspnoea and chest discomfort. After some delay while trying other treatment, she was eventually transferred to the emergency department where a chest X-ray revealed a right pneumothorax and fluid collection. She was admitted to hospital and a chest tube inserted into the right hemithorax (under ultrasound guidance) drained 800 mL of bloody fluid (haematocrit (Hct) 17.8%) in 24 h and 1200 mL over the following 3 days. Her blood Hct fell from 39.0% to 30.8% and haemoglobin from 12.7 to 10.3 g/dL. The patient recovered completely and was discharged after 9 days of hospitalisation. When dyspnoea, chest pain and discomfort occur during or after an acupuncture treatment, the possibility of secondary (traumatic) pneumo- or haemopneumothorax should be considered and the patient should remain under careful observation (watchful waiting) for at least 48 h. To maximise the safety of acupuncture, specific training should be given for the safe use of acupuncture points of the anterior and posterior thoracic wall using dry needling, trigger point acupuncture or other advanced acupuncture techniques. BMJ Publishing Group 2015-06 2015-03-19 /pmc/articles/PMC4483786/ /pubmed/25791844 http://dx.doi.org/10.1136/acupmed-2014-010700 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Case Report Karavis, Miltiades Y Argyra, Erifili Segredos, Venieris Yiallouroy, Aneza Giokas, Georgios Theodosopoulos, Thedosios Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture |
title | Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture |
title_full | Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture |
title_fullStr | Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture |
title_full_unstemmed | Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture |
title_short | Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture |
title_sort | acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4483786/ https://www.ncbi.nlm.nih.gov/pubmed/25791844 http://dx.doi.org/10.1136/acupmed-2014-010700 |
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