I would like to raise one more issue about aspiration of spontaneous
pneumothorax.
I am using Cook's catheter and I noticed that there were several occasions
that the patients complaint of several pain after the aspiration. Possibile
causes can be sucking of pleura into the catheter or what I am now worrying
is irritation of pleura by the catheter.
Anyone has similar experience with Cook's catheter?
Axel SIU
Hong Kong
----- Original Message -----
From: Meek, Steve <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 26, 1999 9:04 PM
Subject: RE: aspiration of spontaneous pneumothorax
> Tim
> This sounds like a very serious issue. Ive not heard of this before and
have
> been a strong advocate of aspiration for years. Is this using a needle,
> venflon, Cook catheter or what? Was it successful in the two cases prior
to
> deterioration or was there no improvement - in other words was there a
risk
> these would have been sent home? I notice Francis' case was with a needle.
> Steve Meek
> RUH Bath
> > ----------
> > From: Timothy J Coats (SURG) 7728[SMTP:[log in to unmask]]
> > Sent: 25 November 1999 16:39
> > To: [log in to unmask]
> > Subject: Re: aspiration of spontaneous pneumothorax
> >
> > Well, Ive now had two cases of spontaneous pneumothorax aspirated by the
> > physicians that have gone on to have tension in the AED. The first was
> > only
> > just performed, the second had been done half an hour beforehand and had
> > tensioned to the point of respiratory/cardiac arrest. Not too sure
about
> > those
> > BTS guidelines!
> >
> > AWW
> > Alastair WIlson.
> > A&E Consultant, Royal London Hospital.
> >
>
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