Post Pneumothorax Observation

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POST BIOPSY OBSERVATION
No specific monitoring is required following an uncomplicated biopsy procedure.
Most complications are known to occur within one hour of the procedure, therefore patient was kept in the hospital for at least one hour or longer if pneumothorax occurred. Chest radiographs are reviewed by radiologist.
Patient kept in supervised area so that staff could be alerted if they develop shortness of breath, chest pain or other symptoms within first hour.
If complications had developed, the clinical condition of the patient and their home circumstances were considered before deciding on further management.

RESULTS
65 patients of both sex and varying age group referred for CT guided lung FNACs to Radiology
The patient’s age ranged
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This can be due to Small study group comprising 65 patients, Irregular presence of onsite cytopathologist for supervision (11, 12), 4 patients were lost on follow up.
Therefore the presence of cytopathologist produces good diagnostic yield.
Incidence of complication due to the procedure of CT guided transthoracic fine-needle aspiration cytology of lung lesions.
The literature states the most common complication to be pneumothorax. In our study the incidence of pneumothorax is16% (11 cases) none of which required placement of chest drainage tubes. The incidence of pneumothorax in studies performed by Lee and Sagel13 is 23-43%, Dennie et al 14 is 22.9%, Simpson RW et al15 is 32%, Poe RH et al16 is 27%, Allison DJ6 is 24%, Swischuk JL et al10 is 26.9%, Miller JA et al12 is 7% and Counes DJ 17 is 18%.
The incidence of hemoptysis is 3% in our study which also correlates with Lee and Sagel13 and Simpson RW et al 15 studies where the incidence was < 5%.

CONCLUSION
CT guided FNAC is well recognized procedure with good efficacy for evaluation of pulmonary lesions with minimal risks of complications, most common being pneumothorax followed by

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