scholarly journals SECONDARY SPONTANEOUS PNEUMOTHORAX IN IDIOPATHIC PULMONARY HEMOSIDEROSIS

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A1724
Author(s):  
Ashley Reluzco ◽  
John Cox
Keyword(s):  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax ◽  
Pulmonary Hemosiderosis ◽  
Idiopathic Pulmonary Hemosiderosis

scholarly journals Secondary spontaneous pneumothorax: a time to re‐evaluate management

2021 ◽  
Vol 9 (8) ◽  
Author(s):  
Arturo Cortes‐Telles ◽  
Diana Lizbeth Ortíz‐Farias ◽  
Felipe Perez‐Hernandez ◽  
Dulce Rodriguez‐Morejon
Keyword(s):  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Bedside tracer gas technique accurately predicts outcome in aspiration of spontaneous pneumothorax

Thorax ◽  
2001 ◽  
Vol 56 (8) ◽  
pp. 617-621
Author(s):  
D G Kiely ◽  
S Ansari ◽  
W A Davey ◽  
V Mahadevan ◽  
G J Taylor ◽  
...  
Keyword(s):  
Chest Radiograph ◽  
Spontaneous Pneumothorax ◽  
Significant Risk ◽  
Admission Rate ◽  
Primary Spontaneous Pneumothorax ◽  
Tracer Gas ◽  
Secondary Spontaneous Pneumothorax ◽  
Poor Predictor ◽  
Bedside Test ◽  
Simple Bedside

BACKGROUNDThere is no technique in general use that reliably predicts the outcome of manual aspiration of spontaneous pneumothorax. We have hypothesised that the absence of a pleural leak at the time of aspiration will identify a group of patients in whom immediate discharge is unlikely to be complicated by early lung re-collapse and have tested this hypothesis by using a simple bedside tracer gas technique.METHODSEighty four episodes of primary spontaneous pneumothorax and 35 episodes of secondary spontaneous pneumothorax were studied prospectively. Patients breathed air containing a tracer (propellant gas from a pressurised metered dose inhaler) while the pneumothorax was aspirated percutaneously. Tracer gas in the aspirate was detected at the bedside using a portable flame ioniser and episodes were categorised as tracer gas positive (>1 part per million of tracer gas) or negative. The presence of tracer gas was taken to imply a persistent pleural leak. Failure of manual aspiration and the need for a further intervention was based on chest radiographic appearances showing either failure of the lung to re-expand or re-collapse following initial re-expansion.RESULTSA negative tracer gas test alone implied that manual aspiration would be successful in the treatment of 93% of episodes of primary spontaneous pneumothorax (p<0.001) and in 86% of episodes of secondary spontaneous pneumothorax (p=0.01). A positive test implied that manual aspiration would either fail to re-expand the lung or that early re-collapse would occur despite initial re-expansion in 66% of episodes of primary spontaneous pneumothorax and 71% of episodes of secondary spontaneous pneumothorax. Lung re-inflation on the chest radiograph taken immediately after aspiration was a poor predictor of successful aspiration, with lung re-collapse occurring in 34% of episodes by the following day such that a further intervention was required.CONCLUSIONSNational guidelines currently recommend immediate discharge of patients with primary spontaneous pneumothorax based primarily on the outcome of the post-aspiration chest radiograph which we have shown to be a poor predictor of early lung re-collapse. Using a simple bedside test in combination with the post-aspiration chest radiograph, we can predict with high accuracy the success of aspiration in achieving sustained lung re-inflation, thereby identifying patients with primary spontaneous pneumothorax who can be safely and immediately discharged home and those who should be observed overnight because of a significant risk of re-collapse, with an estimated re-admission rate of 1%.

Surgical treatment for secondary spontaneous pneumothorax: a risk factor analysis

Surgery Today ◽  
2021 ◽  
Author(s):  
Norikazu Kawai ◽  
Takeshi Kawaguchi ◽  
Motoaki Yasukawa ◽  
Takashi Tojo ◽  
Noriyoshi Sawabata ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Risk Factor ◽  
Surgical Treatment ◽  
Spontaneous Pneumothorax ◽  
Risk Factor Analysis ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Comparison of video-assisted thoracoscopic talcage for recurrent primary versus persistent secondary spontaneous pneumothorax

1997 ◽  
Vol 10 (2) ◽  
pp. 412-416 ◽  
Author(s):  
M. Noppen ◽  
M. Meysman ◽  
J. d'Haese ◽  
I. Monsieur ◽  
W. Verhaeghe ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax ◽  
Video Assisted

IDIOPATHIC PULMONARY HEMOSIDEROSIS

PEDIATRICS ◽  
1957 ◽  
Vol 19 (6) ◽  
pp. 1101-1108
Author(s):  
Konrad H. Soergel
Keyword(s):  
Young Patients ◽  
Review Of The Literature ◽  
Mild Form ◽  
Pathogenetic Mechanism ◽  
Diagnostic Measures ◽  
Pulmonary Hemosiderosis ◽  
Number Of Patients ◽  
Antihistaminic Drugs ◽  
Idiopathic Pulmonary Hemosiderosis ◽  
Better Than

Two fatal cases of idiopathic pulmonary hemosiderosis are reported. A review of the literature shows the prognosis of this disease to be, at least in young patients, somewhat better than generally thought. A positive diagnosis in the living patient is possible with the help of certain diagnostic measures which are discussed. Increasing familiarity with the rather typical manifestations of this disorder may lead to the discovery of a larger number of patients who have a mild form of the disease. The value of splenectomy and therapy with adrenocorticotropin and cortisone is still questionable, but further trials are necessary, possibly together with the use of antihistaminic drugs. Intermittent increases in pressure in the pulmonary circulation, due to a defective vasomotor control, appears to be the most likely pathogenetic mechanism but more investigations are needed to arrive at any positive conclusion.

Sign in / Sign up

Export Citation Format

Share Document