Progressive iatrogenic pneumothorax from incorrectly connected Heimlich valve
Updates to Case Attributes
On physical exam hyperresonance noted onhyper-resonance of the left lung fieldsfield was noted when compared to the right, with no lung sounds auscultated on the left side when compared to the right side.
PatientsThe patient's pigtail catheter was also examined also at this time with; the Heimlich valve was noted to be placed backwardsin reverse with the pigtail closed off to prevent aircatheter obstructed, therefore preventing gas from escaping.
The Heimlich valve connectedwas re-connected to atriumthe chest drainage set with 20 cm to wall suction with notable airgas bubbles present after connection.
-<p>On physical exam hyperresonance noted on left lung fields when compared to right, with no lung sounds auscultated on left side when compared to right side. </p><p>Patients pigtail was examined also at this time with the Heimlich valve noted to be placed backwards with the pigtail closed off to prevent air from escaping. </p><p>Heimlich valve connected to atrium with 20 cm to wall suction with notable air bubbles present after connection.</p>- +<p>On physical exam hyper-resonance of the left lung field was noted when compared to the right, with no lung sounds auscultated on the left side when compared to the right side. </p><p>The patient's pigtail catheter was also examined at this time; the Heimlich valve was noted to be placed in reverse with the pigtail catheter obstructed, therefore preventing gas from escaping. </p><p>The Heimlich valve was re-connected to the chest drainage set with wall suction with gas bubbles present after connection.</p>
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SeeBlue-coloured end of the colours.
Blue coloured endHeimlich valve attaches to the tube coming from the patient end.
Updates to Study Attributes
Iatrogenic pneumothorax from port placement.
Iatrogenic tension pneumothorax from wrongerroneous attachment of the Heimlich valve connectionto the chest tube.
Image X-ray (Frontal) ( update )
Image X-ray (Frontal) ( update )
Image X-ray (Frontal) ( update )
