Pneumothorax
Collapsed Lung.
The Presence Of Air Or Gas In The Cavity Between
The Lungs And The Chest Wall, Causing Coll...
Pneumothorax (Clinical Points)
Shortness of Breath ± Pain.
Tall Thin Male.
Smoker.
History of Travel.
Trauma/COPD/Ast...
Causes of Pneumothorax
Spontaneous:
Primary;
 Idiopathic / Young Tall Men.
 Smoking / Familial.
Secondary;
 Lung Dis...
Investigations;
Chest X-Ray.
CT Scan.
D-Dimer.
CT Pulmonary Angiography.
Tension Pneumothorax
Respiratory Distress.
Tracheal Deviation to Contralateral Side.
Ipsilateral Decreased Breath Sound...
Haemothorax
 Blood Accumulating In The Pleural Cavity.
Cause Is Usually Traumatic.
Massive Haemothorax
Drainage of >1500ml blood from chest cavity on
insertion of chest drain.
Shock.
No Breath Sounds.
...
Treatment (Massive Haemothorax)
Simultaneous Drainage of ;
Haemothorax.
Fluid Resuscitation.
Wide Bore (>32 Fr) Chest ...
Chest Drains
Indications;
Air.
Blood.
Pus.
Lymph.
Fluid.
Post-Thoracotmy.
Hazards;
Damage to Intra-Thoracic Organs.
Damage to Neurovascular Bundle.
Infection.
Subcutaneous Emphysema.
Abnorma...
Care;
Post-Procedure CXR.
Never Use Trocar.
Never Clamp the Drain.
Drain Bottle Should Always
be Below Chest Level.
...
Care; (cont.)
Chest Physiotherapy.
Mr. ABC is 20 years old male with height of 6.5 feet.
He has attended the emergency complaining of some
left sided chest ...
Pneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecture
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Pneumothorax & chest tube final year mbbs lecture

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Final Year MB BS Lecture on Pneumothorax & Chest Intubation by Mr. Adeel Abbas

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Pneumothorax & chest tube final year mbbs lecture

  1. 1. Pneumothorax Collapsed Lung. The Presence Of Air Or Gas In The Cavity Between The Lungs And The Chest Wall, Causing Collapse Of The Lung.
  2. 2. Pneumothorax (Clinical Points) Shortness of Breath ± Pain. Tall Thin Male. Smoker. History of Travel. Trauma/COPD/Asthma/TB? Breath Sounds? Vocal Resonance? Percussion?
  3. 3. Causes of Pneumothorax Spontaneous: Primary;  Idiopathic / Young Tall Men.  Smoking / Familial. Secondary;  Lung Diseases (COPD/TB/Asthma/Cystic Fibrosis). Traumatic (Blunt or Sharp Wound). Iatrogenic (Central Venous Catheter Insertion).
  4. 4. Investigations; Chest X-Ray. CT Scan. D-Dimer. CT Pulmonary Angiography.
  5. 5. Tension Pneumothorax Respiratory Distress. Tracheal Deviation to Contralateral Side. Ipsilateral Decreased Breath Sounds. Hyper-Resonant. Raised JVP. Displaced Apex Beat. Hypotension.
  6. 6. Haemothorax  Blood Accumulating In The Pleural Cavity. Cause Is Usually Traumatic.
  7. 7. Massive Haemothorax Drainage of >1500ml blood from chest cavity on insertion of chest drain. Shock. No Breath Sounds. Dull Percussion. JVP  Raised? Decreased?
  8. 8. Treatment (Massive Haemothorax) Simultaneous Drainage of ; Haemothorax. Fluid Resuscitation. Wide Bore (>32 Fr) Chest Drain. Thoracotomy?
  9. 9. Chest Drains
  10. 10. Indications; Air. Blood. Pus. Lymph. Fluid. Post-Thoracotmy.
  11. 11. Hazards; Damage to Intra-Thoracic Organs. Damage to Neurovascular Bundle. Infection. Subcutaneous Emphysema. Abnormally Placed Tube.
  12. 12. Care; Post-Procedure CXR. Never Use Trocar. Never Clamp the Drain. Drain Bottle Should Always be Below Chest Level. Pain Management.
  13. 13. Care; (cont.) Chest Physiotherapy.
  14. 14. Mr. ABC is 20 years old male with height of 6.5 feet. He has attended the emergency complaining of some left sided chest pain; there was no relief with paracetamol. He has recently made trip to Australia for diving. There is no significant medical or family history. How would you investigate this patient? What signs would suggest a tension pneumothorax? What are the causes of pneumothorax?
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