Chih-Hao Chen1, Ho Chang2, Shih-Yi Lee3, Hung-Chang Liu4, Tzu-Ti Hung4, Chao-Hung Chen5, Chih-Yin Tai6. 1. Graduate Institute of Mechanical and Electrical Engineering, National Taipei University of Technology, Taipei City, Taiwan; Department of Thoracic Surgery, Mackay Memorial Hospital, Taipei City, Taiwan; Mackay Medicine, Nursing and Management College, Taipei City, Taiwan. Electronic address: musclenet2003@yahoo.com.tw. 2. Graduate Institute of Mechanical and Electrical Engineering, National Taipei University of Technology, Taipei City, Taiwan. 3. Division of Pulmonary and Critical Care Medicine, Mackay Memorial Hospital, Taipei City, Taiwan; Mackay Medicine, Nursing and Management College, Taipei City, Taiwan. 4. Graduate Institute of Mechanical and Electrical Engineering, National Taipei University of Technology, Taipei City, Taiwan; Department of Thoracic Surgery, Mackay Memorial Hospital, Taipei City, Taiwan; Mackay Medicine, Nursing and Management College, Taipei City, Taiwan. 5. Department of Thoracic Surgery, Mackay Memorial Hospital, Taipei City, Taiwan; Mackay Medicine, Nursing and Management College, Taipei City, Taiwan. 6. Sports Science Center Research Institute, MusclePharm, Inc, Denver, Colorado.
Abstract
PURPOSE: Tube thoracostomy is a common and generally safe procedure. However, potential hazards can occur during placement of the chest tube. Inasmuch as unexpected injuries may arise from tube thoracostomy, we propose a novel video-guided method. DESCRIPTION: We used an independent complementary metal oxide semiconductor image sensor with a processing chip to obtain a front view image of the chest cavity. The device is connected to an aluminum shaft with four small light-emitting diode crystals in the tip, and a detachable small monitor with a battery inside. The apparatus is small and can be used to direct vision-guided tools in tube thoracostomy. EVALUATION: We performed video-guided tube thoracostomy in 6 patients with pleural adhesions. All patients experienced good tolerance to the procedure and had no immediate adverse events. The thoracostomies were performed by a single surgeon with good acceptability, and each procedure was completed in less than 10 minutes. CONCLUSIONS: In some cases of pleural adhesion, the video-guided thoracostomy may be a safer alternative to non-image guided tube thoracostomy.
PURPOSE: Tube thoracostomy is a common and generally safe procedure. However, potential hazards can occur during placement of the chest tube. Inasmuch as unexpected injuries may arise from tube thoracostomy, we propose a novel video-guided method. DESCRIPTION: We used an independent complementary metal oxide semiconductor image sensor with a processing chip to obtain a front view image of the chest cavity. The device is connected to an aluminum shaft with four small light-emitting diode crystals in the tip, and a detachable small monitor with a battery inside. The apparatus is small and can be used to direct vision-guided tools in tube thoracostomy. EVALUATION: We performed video-guided tube thoracostomy in 6 patients with pleural adhesions. All patients experienced good tolerance to the procedure and had no immediate adverse events. The thoracostomies were performed by a single surgeon with good acceptability, and each procedure was completed in less than 10 minutes. CONCLUSIONS: In some cases of pleural adhesion, the video-guided thoracostomy may be a safer alternative to non-image guided tube thoracostomy.
Authors: Matthew C Hernandez; David Vogelsang; Jeff R Anderson; Cornelius A Thiels; Gregory Beilman; Martin D Zielinski; Johnathon M Aho Journal: Injury Date: 2017-02-20 Impact factor: 2.586