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Traumatic Pneumothorax Following Acupuncture: A Case Series
Felix Grusche1, Diana Egerton-Warburton1,2
1Monash University, Melbourne, Victoria, Australia.
Clinical Practice and Cases in Emergency Medicine
|June 1, 2018
Summary
Acupuncture and dry needling are generally safe for musculoskeletal pain. However, rare cases of traumatic pneumothorax can occur, necessitating emergency department evaluation.
Area of Science:
- Integrative Medicine
- Pain Management
- Emergency Medicine
Background:
- Acupuncture and dry needling are common therapeutic modalities used by various healthcare professionals.
- These techniques are frequently employed for managing musculoskeletal pain in both outpatient and emergency settings.
- Both procedures are generally considered safe with a low incidence of adverse events.
Observation:
- This report details three distinct cases of traumatic pneumothorax.
- These incidents were directly linked to acupuncture or dry needling procedures.
- All three cases presented for care within an emergency department between 2014 and 2016.
Findings:
- Traumatic pneumothorax is a potential, albeit rare, complication of acupuncture and dry needling.
- Prompt recognition and management in the emergency department are crucial for these specific adverse events.
- The incidence highlights the importance of considering iatrogenic causes of pneumothorax.
Implications:
- Healthcare providers should maintain a high index of suspicion for pneumothorax after acupuncture/dry needling, especially in emergency settings.
- Patient education regarding potential risks, though rare, is advisable.
- Further research into risk mitigation strategies for these procedures may be warranted.
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