-------------Forwarded Message-----------------
From: INTERNET:[log in to unmask], INTERNET:[log in to unmask]
To: [unknown], INTERNET:[log in to unmask]
Date: 12/09/98 17:21
RE: Re: conservative tx of traumatic chest trauma
Sender: [log in to unmask]
Received: from mailout2.mailbase.ac.uk (mailout2.mailbase.ac.uk [128.240.226.12])
by dub-img-5.compuserve.com (8.8.6/8.8.6/2.14) with ESMTP id MAA07156;
Sat, 12 Sep 1998 12:21:17 -0400 (EDT)
Received: from naga.mailbase.ac.uk (naga.mailbase.ac.uk [128.240.226.3])
by mailout2.mailbase.ac.uk (8.9.1a/8.9.1) with ESMTP id RAA25570;
Sat, 12 Sep 1998 17:12:14 +0100 (BST)
Received: (from daemon@localhost)
by naga.mailbase.ac.uk (8.8.x/Mailbase) id RAA25851;
Sat, 12 Sep 1998 17:11:50 +0100 (BST)
Received: from newmail.virgin.net (newmail.virgin.net [194.168.54.44])
by naga.mailbase.ac.uk (8.8.x/Mailbase) with ESMTP id RAA25845;
Sat, 12 Sep 1998 17:11:48 +0100 (BST)
Received: from virgin.net ([194.168.65.132]) by newmail.virgin.net
(Post.Office MTA v3.5 release 217 ID# 0-52107U250000L250000S0V35)
with ESMTP id net for <[log in to unmask]>;
Sat, 12 Sep 1998 16:11:48 +0000
Message-ID: <[log in to unmask]>
Date: Sat, 12 Sep 1998 17:11:25 +0100
X-Mailer: Mozilla 4.5b1 [en] (Win95; I)
X-Accept-Language: en
MIME-Version: 1.0
References: <v01540b04b21e7c085f53@[194.112.52.60]>
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
Subject: Re: conservative tx of traumatic chest trauma
From: Andrew G Hobart <[log in to unmask]>
To: [log in to unmask]
X-List: [log in to unmask]
X-Unsub: To leave, send text 'leave acad-ae-med' to [log in to unmask]
X-List-Unsubscribe: <mailto:[log in to unmask]>
Reply-To: [log in to unmask]
Sender: [log in to unmask]
Errors-To: [log in to unmask]
Precedence: list
Content-Transfer-Encoding: 7bit
andy johnston wrote:
> >50% pneumothorax mandates tube placement.
Why?
If the plearal leak has sealed it self when the lung collapsed half way rather
than one third of the way what difference does this make to the likelihood of
aspiration being successful?
--
Andrew
_______________________________________________________
Andrew Hobart FRCS
SpR A&E West Midlands
Andrew
I couldn't agree more. I have seen several "complete" spontaneous pneumothoraces
treated successfully by simple aspiration. It may be necessary to reaspirate once
or even twice, but I would personally rather that than have a chest drain inserted.
Lawrence Jaffey
Liverpool
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|