scholarly journals SECONDARY SPONTANEOUS PNEUMOTHORAX SECONDARY TO TUBERCULOSIS WITH KLEBSIELLA AND PSEUDOMONAS CO‐INFECTION: A CASE REPORT

Respirology ◽  
2019 ◽  
Vol 24 (S2) ◽  
pp. 27-28
Cureus ◽  
2019 ◽  
Author(s):  
Munish Sharma ◽  
Humayun Anjum ◽  
Chinthaka P Bulathsinghala ◽  
Mihir Buch ◽  
Salim R Surani

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

Thorax ◽  
2001 ◽  
Vol 56 (8) ◽  
pp. 617-621
Author(s):  
D G Kiely ◽  
S Ansari ◽  
W A Davey ◽  
V Mahadevan ◽  
G J Taylor ◽  
...  

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%.


Surgery Today ◽  
2021 ◽  
Author(s):  
Norikazu Kawai ◽  
Takeshi Kawaguchi ◽  
Motoaki Yasukawa ◽  
Takashi Tojo ◽  
Noriyoshi Sawabata ◽  
...  

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

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hirotaka Kida ◽  
Hiromi Muraoka ◽  
Kei Morikawa ◽  
Takeo Inoue ◽  
Masamichi Mineshita

2016 ◽  
Vol 1 ◽  
pp. 21-25 ◽  
Author(s):  
Serdar Evman ◽  
Levent Alpay ◽  
Serda Metin ◽  
Hakan Kıral ◽  
Mine Demir ◽  
...  

2014 ◽  
Vol 2014 (jan30 1) ◽  
pp. bcr2013201109-bcr2013201109 ◽  
Author(s):  
A. S. Singh ◽  
V. Atam ◽  
L. Das

Sign in / Sign up

Export Citation Format

Share Document