- Pneumothorax
- in any ventilated patient
- tension pneumothorax after initial needle relief
- persistent or recurrent pneumothorax after simple aspiration
- large secondary spontaneous pneumothorax in patients over 50 years
- Malignant pleural effusion
- Empyema and complicated parapneumonic pleural effusion
- Traumatic haemopneumothorax
- Postoperative—for example, thoracotomy, oesophagectomy, cardiac surgery
Contraindications: There are no absolute contraindications to tube thoracostomy, particularly if the patient is in respiratory distress or has a tension pneumothorax. Anticoagulation or a bleeding diathesis is a relative contraindication in a patient undergoing elective chest tube placement for pleurodesis. Blind insertion of a chest tube is dangerous in a patient with adhesions from infection, previous pleurodesis, or a lung transplant; guidance by CT scan without contrast is preferred in these patients.
Reference:
- Laws D, Neville E, Duffy J; Pleural Diseases Group, Standards of Care Committee,
British Thoracic Society.. BTS guidelines for the insertion of a chest drain. Thorax. 2003 May;58 Suppl 2:ii53-9. [Medline]
The no-holds-barred water fights that have become part of the tradition of Songkran have their roots in early rituals for the holiday that included lightly pouring water over the hands and feet of elders in a cleansing ritual. It also represents well-wishing and good luck, and marks the beginning of the rainy season and the hopes of a productive rice crop.
ReplyDeleteXxx Ladyboy Porn
I was born with HIV my mother passed away because of the HIV infection And I regret why i never met Dr Itua he could have cured my mum for me because as a single mother it was very hard for my mother I came across Dr itua healing words online about how he cure different disease in different races diseases like HIV/Aids Herpes,Parkison,Asthma,Autism,Copd,Epilepsy,Shingles,Cold Sore,Infertility, Chronic Fatigues Syndrome, Lupus Cure,Fibromyalgia,Cancer,Alzheimer's disease,psoriasis,Bipolar Disorder,Dementia Disease,Chronic Diarrhea,Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Stroke,Fibromyalgia,Weak Erection,Breast Enlargment,Penis Enlargment,Hpv,measles, tetanus, whooping cough, tuberculosis, polio and diphtheria)Diabetes Hepatitis,I was so excited but frighten at same time because I haven't come across such thing article online then I contacted Dr Itua on Mail drituaherbalcenter@gmail.com/www.drituaherbalcenter.com . I also chat with him he tells me how it works then I tell him I want to proceed I paid him so swiftly Colorado post office I receive my herbal medicine within 4/5 working days he gave me guidelines to follow and here am I living healthy again can imagine how god use men to manifest his works am I writing in all articles online to spread the god work of Dr Itua Herbal Medicine.
ReplyDelete