{"title":"Postoperative Pneumothorax","authors":"A. Doolan, G. Curley","doi":"10.1093/med/9780190082482.003.0031","DOIUrl":null,"url":null,"abstract":"This chapter reviews the management of a stable and tension pneumothorax after cardiac surgery and discusses persistent air leaks. It examines the features of pneumothorax on chest ultrasonography and compares the diagnostic accuracy of ultrasound to chest radiography and chest computed tomography (CT). It discusses the technique for needle decompression and chest drain insertion and troubleshoots problems with both. It describes the characteristics of persistent air leaks and summarizes the grading system. It compares the features of alveolar-pleural fistulas to bronchopleural fistulas and discusses various diagnostic techniques including chest CT, sequential balloon occlusion, and bronchoscopy. It outlines various treatment options including ventilation strategies, Heimlich valves, chemical pleurodesis, endobronchial/intrabronchial valves, occlusion coils, self-expanding airway stents, and surgery.","PeriodicalId":207135,"journal":{"name":"Cardiothoracic Critical Care","volume":"46 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiothoracic Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/med/9780190082482.003.0031","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
This chapter reviews the management of a stable and tension pneumothorax after cardiac surgery and discusses persistent air leaks. It examines the features of pneumothorax on chest ultrasonography and compares the diagnostic accuracy of ultrasound to chest radiography and chest computed tomography (CT). It discusses the technique for needle decompression and chest drain insertion and troubleshoots problems with both. It describes the characteristics of persistent air leaks and summarizes the grading system. It compares the features of alveolar-pleural fistulas to bronchopleural fistulas and discusses various diagnostic techniques including chest CT, sequential balloon occlusion, and bronchoscopy. It outlines various treatment options including ventilation strategies, Heimlich valves, chemical pleurodesis, endobronchial/intrabronchial valves, occlusion coils, self-expanding airway stents, and surgery.
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