List Archives

Sun Mar 18 22:55:01 GMT 2007

Thoracoscopy and washout.
Ian

>>> roydanks at hotmail.com 17/03/2007 10:21am >>>
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/

######################################################################
Attention: 
This message is intended for the addresses named and may contain 
confidential information. If you are not the intended recipient, please
delete it and notify the sender. Views expressed in this message are 
those of the individual sender, and are not necessarily the views of 
Sydney West Area Health Service.

This e-mail has been scanned for viruses
######################################################################

List Archives

For your convenience, find the Trauma List Archive Below

(no subject)