Use of the Heimlich valve on aeromedical transport

Authors

  • Alexandre Augusto Pinto Cardoso Núcleo do Hospital de Força Aérea de São Paulo - NuHFASP São Paulo/SP - Brasil
  • Ana Cristina Isa Núcleo do Hospital de Força Aérea de São Paulo - NuHFASP São Paulo/SP - Brasil
  • Ernesto Aparecido Alarcon Junior Núcleo do Hospital de Força Aérea de São Paulo - NuHFASP São Paulo/SP - Brasil
  • Rafael Lacerda Pereira Feichas Núcleo do Hospital de Força Aérea de São Paulo - NuHFASP São Paulo/SP - Brasil
  • Igor de Almeida Melo Núcleo do Hospital de Força Aérea de São Paulo - NuHFASP São Paulo/SP - Brasil
  • Hermano Augusto de Medeiros Junior Núcleo do Hospital de Força Aérea de São Paulo - NuHFASP São Paulo/SP - Brasil
  • Thiago Bittencourt Hassegawa Núcleo do Hospital de Força Aérea de São Paulo - NuHFASP São Paulo/SP - Brasil

DOI:

https://doi.org/10.22480/revunifa.2014.27.572

Keywords:

Heimlich valve, Thoracic drainage, Aeromedical transport, Aeromedical evacuation

Abstract

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.

Published

2014-06-01

Issue

Section

Review Articles

How to Cite

Use of the Heimlich valve on aeromedical transport. The Journal of the University of the Air Force , Rio de Janeiro, v. 27, n. 34, 2014. DOI: 10.22480/revunifa.2014.27.572. Disponível em: https://revistadaunifa.fab.mil.br/index.php/reunifa/article/view/572.. Acesso em: 10 nov. 2024.

Similar Articles

21-30 of 395

You may also start an advanced similarity search for this article.