{"id":842,"date":"2019-04-10T22:26:42","date_gmt":"2019-04-11T02:26:42","guid":{"rendered":"https:\/\/geiselmed2.dartmouth.edu\/radiology\/?page_id=842"},"modified":"2019-04-10T22:26:42","modified_gmt":"2019-04-11T02:26:42","slug":"autologous-blood-patch-for-persistent-air-leak","status":"publish","type":"page","link":"https:\/\/geiselmed.dartmouth.edu\/radiology\/divisions\/clinical-divisions\/interventional-radiology\/autologous-blood-patch-for-persistent-air-leak\/","title":{"rendered":"Autologous Blood Patch (for persistent air leak)"},"content":{"rendered":"<p><b>Supplies needed:<\/b><\/p>\n<ul>\n<li>Oval drape, extra blue towels<\/li>\n<li>Arteriogram tray (if upsizing of chest tube is indicated)<\/li>\n<li>Vinyl connecting tubing or three way adaptor<\/li>\n<li>60 cc syringe<\/li>\n<li>New chest tube \/ dilator (if upsizing)<\/li>\n<li>New Atrium (type based on which service patient is on)<\/li>\n<li>Stay-fix<\/li>\n<li>Large tegaderm<\/li>\n<li>Split gauze<\/li>\n<li>Wire: Operator's choice<\/li>\n<\/ul>\n<p><b>Patient Prep:<\/b><\/p>\n<ul>\n<li>Supine on VIR table, prep hemithorax around existing chest tube.<\/li>\n<\/ul>\n<p><b>Procedure: <\/b><\/p>\n<ul>\n<li>Consent: Exchange \/ Upsize Chest tube with Autologous Blood Patch, +\/- Moderate sedation<\/li>\n<li>Risks : Infection, worsening pneumothorax, technical failure including need for additional blood patch, +\/- respiratory depression<\/li>\n<li>Place large bore peripheral IV if patient does not have venous access<\/li>\n<li>Upsize chest tube under fluoro guidance as needed (minimal size of chest tube 10Fr)<\/li>\n<li>Proceduralist will withdraw 100 cc's of blood (with the 60 cc syringe) from patient and instill into pleural space via chest tube<\/li>\n<li>Clamp chest tube for TWO hours but leave it attached to atrium<\/li>\n<li>Patient to roll from side to side every 15 minutes for a two hour period<\/li>\n<li>After two hours unclamp chest tube and place atrium back to LWS -20 mm Hg overnight<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Supplies needed: Oval drape, extra blue towels Arteriogram tray (if upsizing of chest tube is indicated) Vinyl connecting tubing or three way adaptor 60 cc syringe New chest tube \/ dilator (if upsizing) New Atrium (type based on which service patient is on) Stay-fix Large tegaderm Split gauze Wire: Operator&#8217;s [\u2026] <\/p>\n<div class=\"clear\"><\/div>\n<p><a class=\"more_link clearfix\" href=\"https:\/\/geiselmed.dartmouth.edu\/radiology\/divisions\/clinical-divisions\/interventional-radiology\/autologous-blood-patch-for-persistent-air-leak\/\" rel=\"nofollow\">Read More<\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"parent":115,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-842","page","type-page","status-publish","hentry","author-9"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages\/842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/comments?post=842"}],"version-history":[{"count":0,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages\/842\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages\/115"}],"wp:attachment":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/media?parent=842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}