Drainage de la plèvre : les techniques et leurs pièges

sionnels face à un pneumothorax et à un épanchement parapneumonique et passons en revue les différentes techniques de drainage pleural de la moins invasive 

Techniques dexsufflation dun pneumothorax

29 déc. 2018 Aspiration of Pneumothorax: Various Technique ... la pose d'un drain thoracique. ... Small bore drain instead with Seldinger technique.

Drainage Thoracique PowerPoint Mr Glapiack.pdf

9 janv. 2017 procédure médicale (post ponction pleurale ou trans-thoracique post pose de VVC ou de Port-à-Cath…) Le pneumothorax traumatique peut être ...

Drainage Thoracique

CONDITIONS NÉCESSITANT UN DRAINAGE THORACIQUE Pneumothorax Ouvert / Fermé ... Grèce Drainage of the pleura: Techniques and their traps (2009) 18 ...

Drain thoracique avec aspiration (Atrium)

22 janv. 2019 Il permet la réexpansion du poumon par la restauration de la pression négative physiologique de l'espace pleural. INDICATIONS. • Pneumothorax. • ...

Guidelines for the Insertion and Management of Chest Drains

Signed consent must be obtained prior to the procedure where-ever possible. into the pleural cavity to allow drainage of air (pneumothorax) blood.

Drainage pleural

Le drainage pleural est un des gestes techniques les plus fréquents dans la pratique quotidienne de réanimation ou en service urgence.

Le pneumothorax

d'un pneumothorax traumatique est une technique chirurgicale (encadré 4). Utilisation du drain thoracique et du système de drainage. Une fois le diagnostic 

PRODIMED

Drainage pleural selon la technique de Seldinger Drain. Référence de commande. Référence interne. Long drain ... en cas de pneumothorax.

Chest Tube Placement (Adult) - UCSF Health

1 Pneumothorax (especially if it is large or progressive or if the patient is symptomatic) 2 Tension pneumothorax 3 Penetrating chest trauma 4 Hemothorax 5 Chylothorax 6 Empyema 7 Drainage of pleural effusions 8 Prevention of hydrothorax after cardiothoracic surgery 9 Bronchopleural fistula D Precautions/Contraindications 1

• Initial Management

  Most SCE is self-limiting and resolves spontaneously without intervention. However, massive subcutaneous emphysema– that extending beyond the torso into the neck and head (1) – should be addressed to prevent the complications described above. Initial management should commence with an assessment of the patient: Any suggestion of impending airway co...

• Placing An Existing Intercostal Drain on Suction

  Traditional one-bottle chest drainage systems and digital thoracic drainage systems allow for the application of negative pressure suction to the pleural cavity. In the case of one-bottle systems this is regulated by the height of a column of water in the suction control chamber. The principle in subcutaneous emphysema, is to increase flow into the...

• Siting A Wider Bore Intercostal Drain

  Some physicians advocate replacing a small-bore drain with a larger bore drain to allow a greater total flow rate of air— this should hypothetically have a potent effect as flow rate is proportional to the fifth power of the radius of the tube (Fanning equation) [7]. A patient with resistant subcutaneous emphysema, despite application of high negat...

• Draining The Subcutaneous Emphysema Via ‘Blow Holes’

  Subcutaneous emphysema can be decompressed directly through incisions in the skin, so called ‘blow holes’. There are multiple reports in the literature of recalcitrant SCE being successfully drained in this manner, with several variations in the technique described. Unilateral and bilateral [1, 31] incisions of between 2-4cm in length deep to the e...

• Draining The Subcutaneous Emphysema Via Subcutaneous Angio-Catheters

  Another option is to place fenestrated angio-catheters into the deep and oblique fascial layers of the chest wall. In 2002 Beck et al described the use a fenestrated 14G venflon placed into the subcutaneous tissue of a patient with SCE under local anaesthetic, 2-3cm lateral to the midclavicular line. The fenestrations were made to the catheter over...

• Draining The Subcutaneous Emphysema Via Subcutaneous Drains

  Rather than draining the subcutaneous space via angio-catheters which, have the potential to kink or block relatively easily, one can use tunnelled subcutaneous drains. The technique for this procedure is described in Tran, Mizumoto & Mehanna 2018 [24] and O’Reilly, Chen & Wiseman 2013 [40•]. It involves creation of a subcutaneous tract superficial...