Document Detail


Treatment of pneumothorax following acupuncture: is a closed thoracostomy necessary for a first choice of treatment modality?
MedLine Citation:
PMID:  19196054     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Acupuncture is currently the most popular of all forms of complementary and alternative medicine, and acupuncture is not dangerous in the hands of a trained practitioner. However, complications of acupuncture including pneumothorax have been reported.
OBJECTIVES: Despite the use of fine needles in acupuncture, the lung-collapsed degree of acupuncture pneumothorax is relatively high. In general, the treatment modality of acupuncture pneumothorax is closed thoracostomy with a chest tube of larger diameter. However, the treatment of acupuncture pneumothorax frequently faces controversy concerning the necessity of a standard chest drain insertion.
DESIGN: This was a retrospective study from March 1994 to February 2004.
SUBJECTS: Nine (9) patients were admitted due to pneumothorax following acupuncture from March 1994 to February 2004 in Hanil General Hospital, KEPCO Medical Foundation (Seoul, Republic of Korea).
RESULTS: Five (5) patients had a moderate degree of pneumothoraces, while 4 patients had a severe degree of pneumothoraces. Four (4) patients were treated by closed thoracostomy with a standard chest drain and the other four patients were treated by the percutaneous chest drainage with a narrow-bore central venous catheter. One (1) patient with a mild degree of pneumothorax was treated only by nasal oxygen inhalation. One (1) patient was treated by video-assisted thoracic surgery after the closed thoracostomy due to continuous air leak.
CONCLUSIONS: We treated the acupuncture pneumothorax by making a choice between the closed thoracostomy and the percutaneous chest drainage based on a smoking history and chest radiographic findings. In the absence of smoking history and pulmonary emphysema or bullae, we got favorable results, not by the closed thoracostomy but only by the percutaneous chest drainage with a narrow-bore central venous catheter.
Authors:
Eung-Soo Kim; Jong-Yael Kang; Chang-Hae Pyo; Gwang-Woo Rhee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of alternative and complementary medicine (New York, N.Y.)     Volume:  15     ISSN:  1557-7708     ISO Abbreviation:  J Altern Complement Med     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2010-06-03     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9508124     Medline TA:  J Altern Complement Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  183-6     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Hanil General Hospital, KEPCO Medical Foundation, Seoul, Republic of Korea. earth916@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Acupuncture Therapy / adverse effects*
Adult
Aged, 80 and over
Catheterization, Central Venous
Catheters
Chest Tubes
Drainage / methods*
Female
Humans
Male
Middle Aged
Oxygen / therapeutic use
Pneumothorax / etiology,  therapy*
Retrospective Studies
Severity of Illness Index
Thoracostomy*
Video-Assisted Surgery
Young Adult
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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