Managing iatrogenic pneumothorax and chest tubes

Andrea Loiselle, James M. Parish, James A. Wilkens, Dawn E. Jaroszewski

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Iatrogenic pneumothorax has become an increasingly recognized complication of routine outpatient procedures, such as transthoracic needle biopsies of the lung and transbronchial lung biopsies. Patients with clinically significant pneumothorax are typically managed with evacuation via a percutaneously placed catheter or chest tube. Tube thoracotomy and chest tube management have traditionally been performed by cardiothoracic surgeons; however, with the increasing number of interventional radiologists and interventional pulmonologists, more chest tubes are being placed by specialists who do not admit and manage patients in the hospital setting. The responsibility for the admission of these patients to the hospital service has fallen to the internist. Hospitalists caring for such patients are often expected to manage the chest tube. General internal medicine training and the existing medical literature provide few guidelines to assist with this issue. We present a discussion of the current published literature and our management algorithms for hospitalists caring for patients admitted with iatrogenic pneumothorax.

Original languageEnglish (US)
Pages (from-to)402-408
Number of pages7
JournalJournal of Hospital Medicine
Volume8
Issue number7
DOIs
StatePublished - Jul 2013

Fingerprint

Chest Tubes
Pneumothorax
Hospitalists
Lung
Patient Admission
Needle Biopsy
Thoracotomy
Internal Medicine
Outpatients
Catheters
Guidelines
Biopsy

ASJC Scopus subject areas

  • Health Policy
  • Assessment and Diagnosis
  • Care Planning
  • Fundamentals and skills
  • Leadership and Management

Cite this

Loiselle, A., Parish, J. M., Wilkens, J. A., & Jaroszewski, D. E. (2013). Managing iatrogenic pneumothorax and chest tubes. Journal of Hospital Medicine, 8(7), 402-408. https://doi.org/10.1002/jhm.2053

Managing iatrogenic pneumothorax and chest tubes. / Loiselle, Andrea; Parish, James M.; Wilkens, James A.; Jaroszewski, Dawn E.

In: Journal of Hospital Medicine, Vol. 8, No. 7, 07.2013, p. 402-408.

Research output: Contribution to journalArticle

Loiselle, A, Parish, JM, Wilkens, JA & Jaroszewski, DE 2013, 'Managing iatrogenic pneumothorax and chest tubes', Journal of Hospital Medicine, vol. 8, no. 7, pp. 402-408. https://doi.org/10.1002/jhm.2053
Loiselle A, Parish JM, Wilkens JA, Jaroszewski DE. Managing iatrogenic pneumothorax and chest tubes. Journal of Hospital Medicine. 2013 Jul;8(7):402-408. https://doi.org/10.1002/jhm.2053
Loiselle, Andrea ; Parish, James M. ; Wilkens, James A. ; Jaroszewski, Dawn E. / Managing iatrogenic pneumothorax and chest tubes. In: Journal of Hospital Medicine. 2013 ; Vol. 8, No. 7. pp. 402-408.
@article{2990bb7509504446b17ff3e4fd42dc9c,
title = "Managing iatrogenic pneumothorax and chest tubes",
abstract = "Iatrogenic pneumothorax has become an increasingly recognized complication of routine outpatient procedures, such as transthoracic needle biopsies of the lung and transbronchial lung biopsies. Patients with clinically significant pneumothorax are typically managed with evacuation via a percutaneously placed catheter or chest tube. Tube thoracotomy and chest tube management have traditionally been performed by cardiothoracic surgeons; however, with the increasing number of interventional radiologists and interventional pulmonologists, more chest tubes are being placed by specialists who do not admit and manage patients in the hospital setting. The responsibility for the admission of these patients to the hospital service has fallen to the internist. Hospitalists caring for such patients are often expected to manage the chest tube. General internal medicine training and the existing medical literature provide few guidelines to assist with this issue. We present a discussion of the current published literature and our management algorithms for hospitalists caring for patients admitted with iatrogenic pneumothorax.",
author = "Andrea Loiselle and Parish, {James M.} and Wilkens, {James A.} and Jaroszewski, {Dawn E.}",
year = "2013",
month = "7",
doi = "10.1002/jhm.2053",
language = "English (US)",
volume = "8",
pages = "402--408",
journal = "Journal of Hospital Medicine",
issn = "1553-5606",
publisher = "Frontline Medical Communications",
number = "7",

}

TY - JOUR

T1 - Managing iatrogenic pneumothorax and chest tubes

AU - Loiselle, Andrea

AU - Parish, James M.

AU - Wilkens, James A.

AU - Jaroszewski, Dawn E.

PY - 2013/7

Y1 - 2013/7

N2 - Iatrogenic pneumothorax has become an increasingly recognized complication of routine outpatient procedures, such as transthoracic needle biopsies of the lung and transbronchial lung biopsies. Patients with clinically significant pneumothorax are typically managed with evacuation via a percutaneously placed catheter or chest tube. Tube thoracotomy and chest tube management have traditionally been performed by cardiothoracic surgeons; however, with the increasing number of interventional radiologists and interventional pulmonologists, more chest tubes are being placed by specialists who do not admit and manage patients in the hospital setting. The responsibility for the admission of these patients to the hospital service has fallen to the internist. Hospitalists caring for such patients are often expected to manage the chest tube. General internal medicine training and the existing medical literature provide few guidelines to assist with this issue. We present a discussion of the current published literature and our management algorithms for hospitalists caring for patients admitted with iatrogenic pneumothorax.

AB - Iatrogenic pneumothorax has become an increasingly recognized complication of routine outpatient procedures, such as transthoracic needle biopsies of the lung and transbronchial lung biopsies. Patients with clinically significant pneumothorax are typically managed with evacuation via a percutaneously placed catheter or chest tube. Tube thoracotomy and chest tube management have traditionally been performed by cardiothoracic surgeons; however, with the increasing number of interventional radiologists and interventional pulmonologists, more chest tubes are being placed by specialists who do not admit and manage patients in the hospital setting. The responsibility for the admission of these patients to the hospital service has fallen to the internist. Hospitalists caring for such patients are often expected to manage the chest tube. General internal medicine training and the existing medical literature provide few guidelines to assist with this issue. We present a discussion of the current published literature and our management algorithms for hospitalists caring for patients admitted with iatrogenic pneumothorax.

UR - http://www.scopus.com/inward/record.url?scp=84880508514&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880508514&partnerID=8YFLogxK

U2 - 10.1002/jhm.2053

DO - 10.1002/jhm.2053

M3 - Article

C2 - 23765922

AN - SCOPUS:84880508514

VL - 8

SP - 402

EP - 408

JO - Journal of Hospital Medicine

JF - Journal of Hospital Medicine

SN - 1553-5606

IS - 7

ER -