Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access

Original Article

PAFMJ. 2017; 67(4): 641-645


Farhan Ahmed Majeed, Qamar-UL-Haq Noor, Umer Mehmood, Tashfeen Imtiaz, Usama Zafar.

Objective: To evaluate clinical judgment in ruling out pneumothorax during the removal of the chest tube by auscultating the chest before removal and after the extubation of the chest tube in comparison to x ray radiological results.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: Combined Military Hospital (CMH) Lahore Pakistan, from August 2015 to March 2016.
Material and Methods: A sample size of 100 was calculated. Patients were selected via non probability purposive sampling. Children under 14 years were not included. The patients with mal-positioned chest tube, surgical site infection, air leak and the patients with more than one chest tube on one side were excluded. A proforma was made and filled by one person. Chest tubes were removed by two trained senior registrars according to a protocol devised. It was ensured that there was no air leak present before removal clinically and radiologically. Another chest x-ray was done within 24 hours of extubation to detect any pathology that might have occurred during the process. Any complication in the patient clinically was observed till the x-ray film became available. Two sets of readings were obtained. Set A included auscultation findings and set B included x ray results.
Results: Out of 100 patients, 60 (60%) were males and 40 (40%) females. The ages of the patients ranged between 17-77 years. Mean age of the patient was 43.27 ± 17.05 years. In set A out of 100 (100%) no pneumothorax developed clinically. In set B out of 100 patients 99 (99%) showed no pneumothorax on chest x ray, only 1 (1%) showed pneumothorax which was not significant (less than 15% on X ray). However, the patient remained asymptomatic clinically and there was no need of reinsertion of the chest tube.
Conclusion: Auscultatory findings in diagnosing a significant pneumothorax are justified. Hence, if the chest tube is removed according to the protocol, clinically by auscultation we can be sure that no significant pneumothorax developed during extubation, thus there is no need of x-ray after wards.

Key words: Chest tube, Pneumothorax, X-ray.

Full-text options

Full-text Article

Share this Article

Readers of this article also read the following articles
»The potential role of the circadian rhythm in immune repertoire formation and pathogenesis of immune disorders
»Does the quality of life in autism spectrum disorder differ from other chronic disorders and healthy children?
»Randomized controlled trial of 12-week yoga therapy as lifestyle intervention in patients of essential hypertension and cardiac autonomic function tests
»Superiority of Laparoscopic Appendectomy over Open Appendectomy: The Hyderabad Experience
»Undifferentiated Sarcoma Induced by BCNU (1,3-bis(2-chloroethyl) -1-nitrosourea) Wafers
»Recurrence of A Cerebral Hydatid Cyst
»Mallophaga of the domestic chicken in the central region of Saudi Arabia
»Comparative study of response to experimental cold pain in dysmenorrheic and nondysmenorrheic women
»Relation of constipation problem and physical activity level in university students
»Variability of Findings Due to Seasonal Alterations and Number of Attacks in Warm-Type Autoimmune Hemolytic Anemia
»Final year medical students’ satisfaction with clinical education and family medicine module. Suez Canal University. Egypt

Journal of Molecular Pathophysiology


BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.