List Archives

Sat Mar 17 00:13:12 GMT 2007

I vote VATS.

>>> Roy Danks <roydanks at hotmail.com> 03/16/07 7:21 PM >>>
63 y.o. male falls in bathtub and has multiple, displaced left rib fx, hemopneumothorax.  Also has fairly recent dx of Stage IV colon CA (mets to lung and liver)...mets in the affected (traumatized lung).  Now 8 days post injury and has retrained HTX (probably 300-500 ml...who knows, it's compressing and causing atelectasis, but no hypoxemia)...and about 15% PTX.  Chest tube not in good position really.

Do I:  Replace the chest tube?  Do a VATS, evac the clot and place chest tube(s) then or do nothing and see what happens?

Thanks.

R. Danks
_________________________________________________________________
Your friends are close to you. Keep them that way.
http://spaces.live.com/signup.aspx--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

Confidentiality Notice

This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential or proprietary information which is legally privileged.  Any unauthorized review, use, disclosure, or distribution is prohibited.  If you are not the intended recipient, please promptly contact the sender by reply e-mail and destroy all copies of the original message.

List Archives

For your convenience, find the Trauma List Archive Below

(no subject)