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Pneumothorax-II01:27

Pneumothorax-II

1.7K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Pneumothorax-I01:26

Pneumothorax-I

2.0K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
2.0K
Pneumothorax II: Pathophysiology01:08

Pneumothorax II: Pathophysiology

37
Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance...
37
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

2.5K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
2.5K
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

1.4K
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
1.4K
Chest Physiotherapy01:24

Chest Physiotherapy

2.9K
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
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Author Spotlight: An Effective Traditional Chinese Medicinal Treatment for Chronic Obstructive Pulmonary Disease with Abdominal Distension
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Acupuncture-Related Pneumothorax.

David A Hampton1, Robert T Kaneko2, Erika Simeon1

  • 1Oregon Health & Science University , Portland, OR.

Medical Acupuncture
|September 4, 2014
PubMed
Summary

Acupuncture can cause pneumothorax (PTX), a collapsed lung, especially when needling near the chest. Recognizing risk factors and seeking prompt medical evaluation is crucial for patient safety.

Keywords:
AcupunctureBody Mass IndexPneumothoraxRisk Factors

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Area of Science:

  • Medical Case Study
  • Adverse Event Reporting
  • Thoracic Complications

Background:

  • Acupuncture-related pneumothorax (PTX) is an underreported complication of thoracic needling.
  • PTX is cited as the most common adverse outcome in recent Chinese literature reviews.
  • Delayed presentation leads to underrecognition by acupuncturists and management by emergency personnel.

Purpose of the Study:

  • To demonstrate common risk factors for PTX following acupuncture.
  • To explain the mechanisms of PTX development after thoracic needling.
  • To outline protocols for suspected PTX after acupuncture treatment.

Main Methods:

  • Case report of a 43-year-old female treated for chronic neck pain with acupuncture.
  • Treatment involved needling specific meridians and acupoints, alongside infrared lamp therapy.
  • Patient presented with chest pain and dyspnea one hour after her third session.

Main Results:

  • The patient was diagnosed with a right-sided pneumothorax (PTX) at a Level-1 trauma center.
  • Acupoint selection, practitioner's anatomical knowledge, and patient factors are identified as PTX risks.
  • Initial presentation does not predict PTX outcome, which can be life-threatening.

Conclusions:

  • Risk factors for acupuncture-related PTX include acupoints targeted, practitioner's anatomical awareness, and patient's history/habitus.
  • A seemingly benign presentation can escalate to cardiovascular collapse.
  • Suspected PTX warrants discussion with the patient and transfer to a tertiary-care facility for evaluation and intervention.