Use of the Heimlich valve on aeromedical transport
DOI:
https://doi.org/10.22480/revunifa.2014.27.572Keywords:
Heimlich valve, Thoracic drainage, Aeromedical transport, Aeromedical evacuationAbstract
Chest drainage conventionally is performed with drainage systems under water seal. In 1968, Henry Heimlich devised a device of small dimensions, which allows the passage of fluid or air in a single direction, preventing reflux into the pleural cavity. The aim of the present study is to evaluate the use of the Heimlich valve in the aeromedical transport of patients in need of thoracic drainage. A descriptive literature review was carried out, using secondary sources such as aviation medicine books, scientific articles and research reports located in available databases (Lilacs, Cochrane, Embase, Pubmed). The Heimlich valve proved to be efficient in the resolution of pneumothorax of different etiologies. Its manipulation was simpler and faster than that historically observed with conventional systems, facilitating aeromedical transport.
References
BEYRUTI, Ricardo et al . A válvula de Heimlich no tratamento do pneumotórax. Jornal de Pneumologia, São Paulo, v. 28, n. 3, jun. 2002. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-35862002000300001&lng=en&nrm=iso>. Acesso em: 17 fev. 2014.
BEYRUTI, Ricardo et al. Nossa experiência com o uso da válvula de Heimlich no tratamento do pneumotórax. Jornal de Pneumologia, v. 25, n. 2, 1999.
CAMPISI, P.; VOITIK, A. J. Outpatient treatment of spontaneous pneumothorax in a community hospital using a Heimlich valve: a case series. Journal Emerg. Med., v. 15, p.115-119, 1997.
CLAGETT, O. T. The management of spontaneous pneumothorax. Journal Thorac. Cardio. Surg., v. 55, p. 761-762, 1968.
COKER, William J. Aeromedical evacuation: medical aspects. In: ERNSTING. Ernsting`s Aviation Medicine. 4. ed. London: Edward Arnold
Ltd, p. 813-823, 2006.
DAVIDOFF, Jack B. History of Air Medical Transport. In: BLUMEN, I. J. Principles and direction of air medical transport. 4. ed. Salt Lake City: Air Medical Physician Association, 2006. p. 3-6.
DRIVER, A. G; et al. Heimlich valve treatment of Pneumocystis carinii associated pneumothorax. Chest, v. 34, p. 234-237, 1991.
FLUTTER VALVE. Wikipedia, The Free Encyclopedia. Disponível em: <http://en.wikipedia.org/wiki/Flutter_valve>. Acesso em: 17 fev. 2014.
HEIMLICH, Henry J. Valve drainage of the pleural cavity. Chest, v. 53, p. 282-287, 1968.
LIGHT, R. W; HAMM, H. Pleural disease and acquired immune deficiency syndrome. Eur Respir Journal, v. 10, p. 2638-2643, 1997.
LILIENTHAL, H. Thoracic surgery: the surgical treatment of thoracic disease. Philadelphia: Saunders, v. 1, p. 52-56, 1926.
LINDSAY, M. B. Trauma management: issues for the air medical crew. In: BLUMEN, I. J. Principles and direction of air medical transport. 4. ed. Salt Lake City: Air Medical Physician Association, 2006. p. 386-393.
MCGUIRE, Neil. Aeromedical transfer of the critically ill patient. In: ERNSTING. Ernsting`s Aviation Medicine.4. ed. London: Edward Arnold Ltd, 2006. p. 825-833.
MCKENNA, R. J.; FISCHEL, R.; BRENNER, M.; GELB, A. F. Use of the Heimlich valve to shorten hospital stay after lung reduction surgery for emphysema. Ann. Thorac. Surg., v. 61, p.1115-1117, 1996.
PAGE, Tim. Helicópteros na Guerra do Vietnã (1965-1975). Disponível em: <http://www.asarotativa.com/2012/03/foto-da-serie-helicopterosna-guerra-do_09.html>. Acesso em: 17 fev. 2014.
PLAYFAIR, G. E. Case of empyema treated by aspiration and subsequently by drainage: recovery. Brazil Medical Journal, v. 1, p. 45, 1875.
REIS, Maria Cristina F. et al. Efeitos da fisiologia aérea na assistência de enfermagem ao paciente aerorremovido e na tripulação aeromédica. Acta Paulista de Enfermagem, v. 13, n. 2, maio/ago. 2000. Disponível em: <http://www.unifesp.br/denf/acta/sum.php?volume=13&numero=2>. Acesso em: 25 abr. 2013.
ROBERT, J. S.; BRATTON, S. L.; BROGAN, T. V. Efficacy and complications of percutaneous pigtail catheters for thoracostomy in pediatric patients. Chest, v. 114, p. 1116-1121, 1998.
ROBINSON, Samuel. Acute thoracic empyema. Avoidance of chronic empyema. Rib trephining for suction drainage. Boston Medical Surgery Journal, v. 163, p. 561-570, 1910.
ROYAL Flying Doctor Service of Australia, Sidney, Australia. Disponível em: <http://www.flyingdoctor.org.au/About-Us/Our-History>. Acesso em: 01 abr. 2013.
TRACHIOTIS, Gregory D. et al. Management of AIDS-related pneumothorax. Ann. Thorac. Surg., v. 62, p.1608-1613, 1996.
VAN HENGEL, Peter;VAN DE BERGH, Jan H. A. M. Heimlich valve treatment and outpatient management of bilateral metastatic pneumothorax. Chest, v. 105, p. 1586-1587,1994.
WERMAN, Howard A. et al. Indications for air medical transport: practical applications. In: BLUMEN, I. J. Principles and direction of air
medical transport. 4. ed. Salt Lake City: Air Medical Physician Association, 2006. p. 12-23.
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Copyright (c) 2014 Alexandre Augusto Pinto Cardoso, Ana Cristina Isa, Ernesto Aparecido Alarcon Junior, Rafael Lacerda Pereira Feichas, Igor de Almeida Melo, Hermano Augusto de Medeiros Junior, Thiago Bittencourt Hassegawa
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