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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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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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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Use of Closed Incision Negative Pressure Therapy for Massive Subcutaneous Emphysema.

Benjamin C Taylor1, Sean McGowan1

  • 1Orthopaedic Surgery, Grant Medical Center, Columbus, USA.

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|April 28, 2020
PubMed
Summary

Subcutaneous emphysema can cause respiratory distress. A novel approach using negative pressure wound therapy on loosely closed incisions successfully managed a massive case, offering a cosmetically improved outcome.

Keywords:
flail chestnegative pressure wound therapysubcutaneous emphysemawound vac

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Area of Science:

  • Thoracic Surgery
  • Wound Management

Background:

  • Subcutaneous emphysema results from air leaks into soft tissues, potentially causing tracheal compression and respiratory distress.
  • While typically self-limiting, massive cases may require invasive interventions beyond standard tube thoracotomy or intubation.

Observation:

  • Traditional management for severe subcutaneous emphysema involves open chest wall incisions for decompression.
  • There is limited evidence on using negative pressure wound therapy (NPWT) devices with open incisions for massive subcutaneous emphysema.

Findings:

  • This case report details the initial successful application of loosely closed incision negative pressure therapy for massive subcutaneous emphysema.
  • The NPWT device effectively stabilized the patient's thoracic injury and facilitated wound closure.

Implications:

  • This approach offers a potentially less invasive and more cosmetically favorable alternative for managing massive subcutaneous emphysema.
  • Further research into NPWT for subcutaneous emphysema could refine treatment strategies for thoracic injuries.