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Wed, 9 Jan 2002 19:26:04 EST

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In a message dated 09-Jan-02 09:55:47 Central Standard Time, KMATTOX@aol.com 
writes:

> 
> Dr. Andy McKibben is absolutely correct regarding treatment of pneumothorax 
> 
> with a chest tube and suction, then disconnecting the patient from suction 
> to 
> go to the CT, it allows for the lung to collapse again.   The CT is 
> obtained 
> after the physician has created an iatrogenic break in the therapy and OF 
> COURSE one then sees a minimal or even large pneumothorax, which would 
> NEVER 
> have been seen if the PORTABLE CT had been performed in the ICU with the 
> patient on suction.   As the patient returns to the ICU and is placed back 
> on 
> suction, the treatment of the pneumothrax and the hopes for a pleural 
> symphsis (especially if there is an air leak) begins all over again.   If 
> there is an air leak, and one hopes for pleural symphsis, it is important 
> to 
> have 7 days of uninterrupted suction for pleural symphsis to occur.  If at 
> any time for any reason that suction in interrupted, then the clock starts 
> all over again.   Every one who is on this web site can remember such cases 
> 
> which became very frustrating to the treating physicians.  The fact that 
> they 
> were frustrating was that those treating them do not understand these 
> simple 
> and long known principles.   
> 
> k
> 

Would the use of a one way valve (the classic Heimlich comes to mind) on the 
end of the chest tube help prevent the re deflation during the transport/CT 
scan?

I don't know of *any* facilities here in NE Louisiana who happen to have a 
*portable* CT scanner available...not even sure that LSU Shreveport, which is 
a level 1 trauma Center has one.

ck
Charles S. Krin, DO

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<HTML>In a message dated 09-Jan-02 09:55:47 Central Standard Time, KMATTOX@aol.com writes: 
 
 
<BLOCKQUOTE TYPE=CITE style="BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px"> 
Dr. Andy McKibben is absolutely correct regarding treatment of pneumothorax 
with a chest tube and suction, then disconnecting the patient from suction to 
go to the CT, it allows for the lung to collapse again.&nbsp;&nbsp; The CT is obtained 
after the physician has created an iatrogenic break in the therapy and OF 
COURSE one then sees a minimal or even large pneumothorax, which would NEVER 
have been seen if the PORTABLE CT had been performed in the ICU with the 
patient on suction.&nbsp;&nbsp; As the patient returns to the ICU and is placed back on 
suction, the treatment of the pneumothrax and the hopes for a pleural 
symphsis (especially if there is an air leak) begins all over again.&nbsp;&nbsp; If 
there is an air leak, and one hopes for pleural symphsis, it is important to 
have 7 days of uninterrupted suction for pleural symphsis to occur.&nbsp; If at 
any time for any reason that suction in interrupted, then the clock starts 
all over again.&nbsp;&nbsp; Every one who is on this web site can remember such cases 
which became very frustrating to the treating physicians.&nbsp; The fact that they 
were frustrating was that those treating them do not understand these simple 
and long known principles.&nbsp;&nbsp; 
 
k 
</BLOCKQUOTE> 
 
Would the use of a one way valve (the classic Heimlich comes to mind) on the end of the chest tube help prevent the re deflation during the transport/CT scan? 
 
I don't know of *any* facilities here in NE Louisiana who happen to have a *portable* CT scanner available...not even sure that LSU Shreveport, which is a level 1 trauma Center has one. 
 
ck 
Charles S. Krin, DO</HTML>

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