scholarly journals Chemical pleurodesis with Viscum album L. extract for secondary spontaneous pneumothorax in elderly patients

2020 ◽  
Vol 12 (10) ◽  
pp. 5440-5445
Author(s):  
Jong Duk Kim ◽  
Jae Won Choi ◽  
Hyun Oh Park ◽  
Chung Eun Lee ◽  
In Seok Jang ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Viscum Album ◽  
Chemical Pleurodesis ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Management of secondary spontaneous pneumothorax in elderly patients by flexible silastic drains

2013 ◽  
Vol 27 (4) ◽  
pp. 428-434
Author(s):  
Hiroshi Tsukada ◽  
Noriko Saito ◽  
Yasuhiro Tezuka ◽  
Sayaka Mitsuda ◽  
Shunsuke Endo
Keyword(s):  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax

Surgical treatment for elderly patients with secondary spontaneous pneumothorax

2016 ◽  
Vol 64 (5) ◽  
pp. 267-272 ◽  
Author(s):  
Hitoshi Igai ◽  
Mitsuhiro Kamiyoshihara ◽  
Takashi Ibe ◽  
Natsuko Kawatani ◽  
Kimihiro Shimizu
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Efficacy of Pleurodesis with an Autologous Blood Patch for Secondary Spontaneous Pneumothorax in Elderly Patients

2014 ◽  
Vol 64 (3) ◽  
pp. 237-242
Author(s):  
Susumu Kadowaki ◽  
Toshiro Ogata ◽  
Kiyomi Igarashi ◽  
Daichi Noda ◽  
Akihiko Inoue ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Autologous Blood ◽  
Secondary Spontaneous Pneumothorax ◽  
Blood Patch

Awake thoracic surgery versus chemical pleurodesis for intractable secondary spontaneous pneumothorax

Surgery Today ◽  
2016 ◽  
Vol 46 (11) ◽  
pp. 1268-1274 ◽  
Author(s):  
Masafumi Noda ◽  
Tatsuaki Watanabe ◽  
Yasushi Matsuda ◽  
Akira Sakurada ◽  
Yasushi Hoshikawa ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Spontaneous Pneumothorax ◽  
Chemical Pleurodesis ◽  
Secondary Spontaneous Pneumothorax

Intraoperative mechanical and chemical pleurodesis with 50 % glucose solution for secondary spontaneous pneumothorax in patients with pulmonary emphysema

Surgery Today ◽  
2013 ◽  
Vol 43 (8) ◽  
pp. 889-893 ◽  
Author(s):  
Takuma Tsukioka ◽  
Kiyotoshi Inoue ◽  
Hiroko Oka ◽  
Shinjiro Mizuguchi ◽  
Ryuhei Morita ◽  
...  
Keyword(s):  
Pulmonary Emphysema ◽  
Spontaneous Pneumothorax ◽  
Glucose Solution ◽  
Chemical Pleurodesis ◽  
Secondary Spontaneous Pneumothorax

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
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