Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pneumothorax-I01:26

Pneumothorax-I

173
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.
173
Pneumothorax-II01:27

Pneumothorax-II

121
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:
121
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

206
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...
206
Flail Chest-II01:26

Flail Chest-II

160
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:
160
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

1
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
1

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The authors reply.

Critical care medicine·2026
Same author

Pressure points: A pilot study using the NASA-TLX tool to measure the intensity of Acute care surgery work.

American journal of surgery·2026
Same author

Universal healthcare: more tax, less litigation?

American journal of surgery·2026
Same author

Fresh frozen plasma-first approach is independently associated with improved survival in severely injured patients undergoing massive transfusion.

The journal of trauma and acute care surgery·2026
Same author

Reconciling the academic mission with workforce reality in acute care surgery.

The journal of trauma and acute care surgery·2026
Same author

Contraction of blood clots occurs during hemostasis and hemorrhagic shock to promote closure of lacerations.

Biomaterials·2026
Same journal

Emergency Surgical Cricothyrotomy Videos Online: Reliability and Training Quality Evaluation.

The Journal of surgical research·2026
Same journal

Management of Concomitant Traumatic Abdominal Vascular and Gastrointestinal Injuries: A Descriptive Study.

The Journal of surgical research·2026
Same journal

Article Processing Charges in General Surgery Journals: Implications for Equitable Publishing Access in Low-Income and Middle-Income Countries.

The Journal of surgical research·2026
Same journal

Association of Distal Internal Carotid Artery Tortuosity With Carotid Artery Stenting Outcomes.

The Journal of surgical research·2026
Same journal

Appendectomy and Subsequent Type 2 Diabetes - A National Cohort study.

The Journal of surgical research·2026
Same journal

Perceptions and Barriers to Intraoperative Non-technical Skills Feedback in General Surgery: A Mixed-Methods Study.

The Journal of surgical research·2026
See all related articles

Related Experiment Video

Updated: Jun 9, 2025

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

8.9K

Can Concurrent Traumatic Hemopneumothorax be Safely Observed?

Abdul Hafiz Al Tannir1, Morgan Tentis1, Morgan Maring1

  • 1Division of Trauma & Critical Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

The Journal of Surgical Research
|October 25, 2024
PubMed
Summary
This summary is machine-generated.

Observing small traumatic hemopneumothorax (HPTX) cases initially led to less pulmonary morbidity and shorter hospital stays. However, a significant failure rate was observed, with outcomes similar to early tube thoracostomy for those who failed observation.

Keywords:
ObservationPulmonary morbidityThoracic traumaTraumatic hemopneumothoraxTube thoracostomy

More Related Videos

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

13.3K
A Mouse Model of Orotracheal Intubation and Ventilated Lung Ischemia Reperfusion Surgery
09:07

A Mouse Model of Orotracheal Intubation and Ventilated Lung Ischemia Reperfusion Surgery

Published on: September 9, 2022

3.7K

Related Experiment Videos

Last Updated: Jun 9, 2025

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

8.9K
International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

13.3K
A Mouse Model of Orotracheal Intubation and Ventilated Lung Ischemia Reperfusion Surgery
09:07

A Mouse Model of Orotracheal Intubation and Ventilated Lung Ischemia Reperfusion Surgery

Published on: September 9, 2022

3.7K

Area of Science:

  • Trauma surgery
  • Thoracic surgery
  • Emergency medicine

Background:

  • Concurrent traumatic hemothorax (HTX) and pneumothorax (PTX) occur in 70% of cases.
  • Observing small isolated HTX (≤300 cc) and PTX (≤35 mm) is safe.
  • The safety of observing concurrent small hemopneumothorax (HPTX) requires assessment.

Purpose of the Study:

  • To assess the safety and outcomes of initial observation for concurrent small traumatic HPTX.
  • To compare initial observation versus early tube thoracostomy (TT) for HPTX.

Main Methods:

  • Retrospective study (2015-2021) at a level I trauma center.
  • Included patients with CT-confirmed HPTX; excluded those with prior TT, TT for rib fixation, PTX >35 mm, HTX >300 cc, or death within 72 hours.
  • Stratified patients into initial observation or early TT groups; primary outcome was observation failure.

Main Results:

  • 353 patients met criteria; 261 (74%) were initially observed.
  • Observation group had lower pulmonary morbidity (9% vs. 14%) and shorter hospital (7 vs. 10 days) and ICU (2 vs. 4 days) stays.
  • Observation failure occurred in 68 patients (26%), most commonly due to worsening HTX (45%); failed observation patients had similar outcomes to the early TT group.

Conclusions:

  • Initial observation of small concurrent traumatic HPTX is associated with reduced pulmonary morbidity and length of stay.
  • A clinically significant failure rate exists for observation, with outcomes comparable to early tube thoracostomy.
  • Observation is a safe initial approach, but careful monitoring is essential due to the failure rate.