(no subject)

[Rangraj Setlur]

why do you think its clotted? you could take an ultrasound to see if
its sloshing around  with position changes and then maybe taking him
to the fluro suite and repositioning the same chest tube under vision
might be the least traumatic option. shouldnt take much time. How are
you Roy? did you ever follow up on your plan of joining the army?
I'm still teaching, just conducted a symposium on medical error
prevention. It was great fun photographing old prescriptions with
possible fatal errors and showing them on powerpoint slides. might be
able to make some changes to the system. take care.rangraj

On 3/17/07, Roy Danks <roydanks at hotmail.com> wrote:
> 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
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-- 
Lt Col Rangraj Setlur
Associate Professor
Department of Anaesthesiology and Critical Care
Armed Forces Medical College
Pune
India