Therapy For Spontaneous Pneumothorax Research Articles

Clinico-radiological profile and outcome of patients undergoing intercostal tube drainage in a tertiary care hospital in West Bengal, India

Introduction: Evacuation of empyema which was first performed centuries ago, marked the beginning of thoracic drainage. The subsequent acquisition of a greater knowledge of the anatomy, physiology, and pathology of the pleural space directed the design of thoracic catheters and drainage systems and the development of the methods by which they are used. Thoracic drainage systems are designed to remove air and liquids from the pleural space or mediastinum, which collect there as a result of injury, disease, or surgical procedures. Method: A total of 100 patients who underwent intercostal tube drainage due to various etiologies are followed up for 3 months in the study Results: In this study it was observed that pneumothorax (67%) as the most common indication for chest drain insertion followed by hydro-pneumothorax. During this period 100 patients of different pathologies related to chest underwent chest intubations. Amongst them 88(88%) were male and 12(12%) were female. Subcutaneous emphysema was found to be the most common complication followed by ICD tube blockage. Among the study population 95% patients were successfully treated & unsuccessful outcome was only 5%. Conclusion: Chest tube insertion is a common procedure usually done for the purpose of draining accumulated air or fluid in the pleural cavity. Small-bore chest tubes (≤14F) are generally recommended as the first-line therapy for spontaneous pneumothorax in non-ventilated patients and pleural effusions in general. Large-bore chest drains may be useful for very large air leaks, as well as post-ineffective trial with small-bore drains.

Complications in the therapy of spontaneous pneumothorax

The therapy of spontaneous pneumothorax is a common necessity in hospitals of all care hierarchies In addition to sufficient primary treatment by placement of a thorax drainage, knowledge of complicationg constellations, recognition of complications and irregular courses during the therapy of spontaneous pneumothorax are of fundamental importance for achieving a satisfactory treatment outcome. Furthermore, the enlightenment of patients regarding the pathogenesis of the disease, possible measures for influencing the recurrence rate and information about future behavioral and lifestyle modifications are important. The principal complications during hospital treatment can be subdivided into complications of the surgical placement of the thorax drain and relief of the pleural cavity, problems in the management of treatment of the pleural negative pressure, the possibly demanding management of a persisting air leak and the individualized decision-making with respect to an interventional or operative procedure. The most common complicating constellations and possible complications during the inpatient hospital stay are described, the.

OK432 chemical pleurodesis as a standard therapy of spontaneous pneumothorax

OK432 chemical pleurodesis as a standard therapy of spontaneous pneumothorax

自然気胸へのＮｄ：ＹＡＧレーザーによる胸腔鏡下外科治療の臨床的検討

自然気胸へのＮｄ：ＹＡＧレーザーによる胸腔鏡下外科治療の臨床的検討

On the etiology and therapy of spontaneous pneumothorax

Nach einleitenden Betrachtungen über die Ätiologie des Spontanpnth. wird anhand eines eigenen Krankengutes von 46 Patienten mit insgesamt 60 Episoden eines Spontanpnth. die gezielte Therapie des einfachen, rezidivierenden und chronischen Spontanpnth. besprochen. Ein exspektatives Verhalten, verbunden durch ein- oder mehrmalige Absaugungen mit dem Pneumothoraxapparat, ist heute nur noch beim ersten Auftreten eines wenig ausgedehnten partiellen Spontanpnth. bzw. bei einem verspätet eingewiesenen und anhand der Filmverlaufsserie bereits eine Spontanresorption aufweisenden Pnth. gerechtfertigt. In allen anderen Fällen einer Initialattacke und beim ersten Rezidiv sollte immer eine geschlossene interkostale Saugdrainage zur Anwendung gelangen. Gelingt es damit nicht, eine sichere und völlige Wiederausdehnung oder eine ständige Rezidivfreiheit zu erzielen, empfiehlt sich die Thorakotomie mit Beseitigung der Blasenbildungen durch Ligatur oder sparsame Resektion und die Obliteration des Pleuraspaltes durch partielle parietale Pleurektomie. Beim chronischen Spontanpnth. kommt als zusätzlicher therapeutischer Eingriff die Dekortikation in Betracht.