This single institution study evaluated patients with traumatic rib fracture treated with rib fixation vs medical management; patients were propensity score matched. RF pts experienced a lower incidence of re-intervention for retained hemothorax, a lower incidence of empyema, and a lower incidence of readmision.
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Pleura - Other
October 1, 2015
June 11, 2015
The authors evaluated VATS vs pleural drainage for initial primary spontaneous pneumothorax in 122 pts, evaluating costs and QOL. Costs for VATS were half of those for pleural drainage. Quality adjusted life years were better for VATS. The incremental cost-effectiveness ratio for VATS was 7,600 euros at 1 year and 10,000 euros at 5 years, well wit
May 19, 2015
The question in this review was whether patients who experience tension pneumothorax differ in presentation depending on whether they are breathing spontaneously or are on positive pressure ventilation. Assisted ventilation was more often associated with hypoxia, hypotension, and cardiac arrest. These adverse clinical signs frequently arose within
July 31, 2014
Using a retrospective analysis of pts undergoing VATS for suspected pleural malignancy, the authors assessed the utility of CT in diagnosing pleural malignancy. Of 370 pts studied, 211 had a pleural malignancy diagnosis established by biopsy. The sensitivity of CT for detecting malignancy was 68%, and the negative predictive value was 65%. CT alon