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Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report

BACKGROUND: For treatment of pneumothorax in Korea, many institutions hospitalize the patient after chest tube insertion. In this study, a portable small-bore chest tube (Thoracic Egg; Sumitomo Bakelite Co. Ltd., Tokyo, Japan) was used for pneumothorax management in an outpatient clinic. METHODS: Be...

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Autores principales: Woo, Won Gi, Joo, Seok, Lee, Geun Dong, Haam, Seok Jin, Lee, Sungsoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900861/
https://www.ncbi.nlm.nih.gov/pubmed/27298796
http://dx.doi.org/10.5090/kjtcs.2016.49.3.185
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author Woo, Won Gi
Joo, Seok
Lee, Geun Dong
Haam, Seok Jin
Lee, Sungsoo
author_facet Woo, Won Gi
Joo, Seok
Lee, Geun Dong
Haam, Seok Jin
Lee, Sungsoo
author_sort Woo, Won Gi
collection PubMed
description BACKGROUND: For treatment of pneumothorax in Korea, many institutions hospitalize the patient after chest tube insertion. In this study, a portable small-bore chest tube (Thoracic Egg; Sumitomo Bakelite Co. Ltd., Tokyo, Japan) was used for pneumothorax management in an outpatient clinic. METHODS: Between August 2014 and March 2015, 56 pneumothorax patients were treated using the Thoracic Egg. RESULTS: After Thoracic Egg insertion, 44 patients (78.6%) were discharged from the emergency room for follow-up in the outpatient clinic, and 12 patients (21.4%) were hospitalized. The mean duration of Thoracic Egg chest tube placement was 4.8 days, and the success rate was 73%; 20% of patients showed incomplete expansion and underwent video-assisted thoracoscopic surgery. For primary spontaneous pneumothorax patients, the success rate of the Thoracic Egg was 76.6% and for iatrogenic pneumothorax, it was 100%. There were 2 complications using the Thoracic Egg. CONCLUSION: Outpatient treatment of pneumothorax using the Thoracic Egg could be a good treatment option for primary spontaneous and iatrogenic pneumothorax.
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spelling pubmed-49008612016-06-13 Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report Woo, Won Gi Joo, Seok Lee, Geun Dong Haam, Seok Jin Lee, Sungsoo Korean J Thorac Cardiovasc Surg Clinical Research BACKGROUND: For treatment of pneumothorax in Korea, many institutions hospitalize the patient after chest tube insertion. In this study, a portable small-bore chest tube (Thoracic Egg; Sumitomo Bakelite Co. Ltd., Tokyo, Japan) was used for pneumothorax management in an outpatient clinic. METHODS: Between August 2014 and March 2015, 56 pneumothorax patients were treated using the Thoracic Egg. RESULTS: After Thoracic Egg insertion, 44 patients (78.6%) were discharged from the emergency room for follow-up in the outpatient clinic, and 12 patients (21.4%) were hospitalized. The mean duration of Thoracic Egg chest tube placement was 4.8 days, and the success rate was 73%; 20% of patients showed incomplete expansion and underwent video-assisted thoracoscopic surgery. For primary spontaneous pneumothorax patients, the success rate of the Thoracic Egg was 76.6% and for iatrogenic pneumothorax, it was 100%. There were 2 complications using the Thoracic Egg. CONCLUSION: Outpatient treatment of pneumothorax using the Thoracic Egg could be a good treatment option for primary spontaneous and iatrogenic pneumothorax. The Korean Society for Thoracic and Cardiovascular Surgery 2016-06 2016-06-05 /pmc/articles/PMC4900861/ /pubmed/27298796 http://dx.doi.org/10.5090/kjtcs.2016.49.3.185 Text en Copyright © 2016 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research
Woo, Won Gi
Joo, Seok
Lee, Geun Dong
Haam, Seok Jin
Lee, Sungsoo
Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report
title Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report
title_full Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report
title_fullStr Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report
title_full_unstemmed Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report
title_short Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report
title_sort outpatient treatment for pneumothorax using a portable small-bore chest tube: a clinical report
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900861/
https://www.ncbi.nlm.nih.gov/pubmed/27298796
http://dx.doi.org/10.5090/kjtcs.2016.49.3.185
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