scholarly journals Bronchopleural fistula and bilateral pneumothorax in a patient with COVID‐19

2021 ◽  
Vol 9 (11) ◽  
Author(s):  
Sangam Shah ◽  
Prince Mandal ◽  
Rajan Chamlagain ◽  
Rukesh Yadav ◽  
Yubraj Pande ◽  
...  
Keyword(s):  
Bronchopleural Fistula ◽  
Bilateral Pneumothorax

Severe Necrotizing Pneumonia in Children: A Challenge to Intensive Care Specialist

2020 ◽  
Vol 66 (6) ◽  
pp. 637-644
Author(s):  
Pradeep Kumar Sharma ◽  
Nikhil Vinayak ◽  
Girraj K Aggarwal ◽  
R D Srivastava ◽  
Pradeep Kumar Aggarwal ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Respiratory Distress ◽  
Cohort Analysis ◽  
Bronchopleural Fistula ◽  
Clinical Information ◽  
Necrotizing Pneumonia ◽  
Bilateral Pneumothorax ◽  
Severe Respiratory Distress ◽  
Care Specialist ◽  
Characteristic Features

Abstract Objective Necrotizing pneumonia (NP) is recently recognized as a complication of pneumonia. The data on NP are scant from developing world and we aimed to describe the characteristic features of NP in our children. Study design Single center retrospective cohort analysis. Patient selection Institutional database of children treated for pneumonia between September 2014 and May 2018 was searched to identify children with NP. Methods The demographic characteristics, laboratory results, and clinical information were recorded for patients selected as NP and analyzed. Results In total, 10 patients (3.7%) of NP were identified out of 272 patients with pneumonia. Median age was 3 years (range: 3 months to 12years). All cases had severe respiratory distress and 70% required mechanical ventilation and inotropic support. The causative pathogens were identified in 6/10 children (60%) with Staphylococcus aureus being most common (4/10). Pleural effusion and pneumothorax were seen in six cases. Four cases had bilateral pleural effusion and three had bilateral pneumothorax. Intercostal drainage (ICD) was placed in 70% and bilateral ICD was placed in 40% cases. Bronchopleural fistula (BPF) developed in two cases and one had bilateral BPF. Median [inter quartile range] ICD days and hospital stay were 9 (6–14) and 13.5 (7.5–18.5) days, respectively. Mean (±SD) total antibiotic (in hospital plus outpatient) days were 28.8 ± 9.6 days. Four cases had airway hemorrhage and in three cases this was massive and fatal. Conclusion NP is a relatively rare but severe complication of pneumonia distinct from pediatric acute respiratory distress, pleural effusion and empyema. Airway hemorrhage is the most fatal complication.

scholarly journals Morbidity and mortality of lobectomy or pneumonectomy after neoadjuvant treatment: an analysis from the ESTS database

2019 ◽  
Author(s):  
Alessandro Brunelli ◽  
Gaetano Rocco ◽  
Zalan Szanto ◽  
Pascal Thomas ◽  
Pierre Emmanuel Falcoz
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Propensity Score ◽  
Propensity Score Analysis ◽  
Bronchopleural Fistula ◽  
Neoadjuvant Treatment ◽  
Mortality Rates ◽  
Induction Treatment ◽  
Score Analysis ◽  
Cardiopulmonary Complications ◽  
Lung Resections

Abstract OBJECTIVES To evaluate the postoperative complications and 30-day mortality rates associated with neoadjuvant chemotherapy before major anatomic lung resections registered in the European Society of Thoracic Surgeons (ESTS) database. METHODS Retrospective analysis on 52 982 anatomic lung resections registered in the ESTS database (July 2007–31 December 2017) (6587 pneumonectomies and 46 395 lobectomies); 5143 patients received neoadjuvant treatment (9.7%) (3993 chemotherapy alone and 1150 chemoradiotherapy). To adjust for possible confounders, a propensity case-matched analysis was performed. The postoperative outcomes (morbidity and 30-day mortality) of matched patients with and without induction treatment were compared. RESULTS 8.2% of all patients undergoing lobectomies and 20% of all patients undergoing pneumonectomies received induction treatment. Lobectomy analysis: propensity score analysis yielded 3824 pairs of patients with and without induction treatment. The incidence of cardiopulmonary complications was higher in the neoadjuvant group (626 patients, 16% vs 446 patients, 12%, P < 0.001), but 30-day mortality rates were similar (71 patients, 1.9% vs 75 patients, 2.0%, P = 0.73). The incidence of bronchopleural fistula and prolonged air leak >5 days were similar between the 2 groups (neoadjuvant: 0.5% vs 0.4%, P = 0.87; 9.2% vs 9.9%, P = 0.27). Pneumonectomy analysis: propensity score analysis yielded 1312 pairs of patients with and without induction treatment. The incidence of cardiopulmonary complications was higher in the treated patients compared to those without neoadjuvant treatment (neoadjuvant 275 cases, 21% vs 18%, P = 0.030). However, the 30-day mortality was similar between the matched groups (neoadjuvant 68 cases, 5.2% vs 5.3%, P = 0.86). Finally, the incidence of bronchopleural fistula was also similar between the 2 groups (neoadjuvant 1.8% vs 1.4%, P = 0.44). CONCLUSIONS Neoadjuvant chemotherapy is not associated with an increased perioperative risk after either lobectomy or pneumonectomy, warranting a more liberal use of this approach for patients with locally advanced operable lung cancer.

scholarly journals Endobronchial Closure of a Bronchopleural Fistula Using a Fibrin Glue-Coated Collagen Patch and Fibrin Glue

2013 ◽  
Vol 19 (6) ◽  
pp. 423-427 ◽  
Author(s):  
Keidai Ishikawa ◽  
Tatsuya Kato ◽  
Masato Aragaki ◽  
Ryunosuke Hase ◽  
Toyohiro Saikai ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Bronchopleural Fistula ◽  
Coated Collagen

scholarly journals Delayed Spontaneous Bilateral Pneumothorax in a Previously Healthy Non-ventilated COVID-19 Patient.

2021 ◽  
Author(s):  
Maite A. Huis in ‘t Veld ◽  
Suzanne W. Ten Kortenaar ◽  
Thomas M. Bodifee ◽  
Jeroen Stavast ◽  
Bart Kessels
Keyword(s):  
Bilateral Pneumothorax

scholarly journals Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jisong Zhang ◽  
Huihui Hu ◽  
Li Xu ◽  
Shan Xu ◽  
Jihong Zhu ◽  
...  
Keyword(s):  
Present Report ◽  
Rare Complication ◽  
Bronchopleural Fistula ◽  
Rigid Bronchoscopy ◽  
New Approach ◽  
Device Implantation ◽  
Amplatzer Device ◽  
Field Of Vision ◽  
Duration Of Operation

Abstract Background Bronchopleural fistula (BPF) is a relatively rare complication after various types of pulmonary resection. The double-sided mushroom-shaped occluder (Amplatzer device, AD) has been gradually used for BPF blocking due to its reliable blocking effect. We have improved the existing AD implantation methods to facilitate clinical use and named the new approach Sheath-free method (SFM). The aim of the present report was to explore the reliability and advantages of the SFM in AD implantation. Methods We improved the existing implantation methods by abandoning the sheath of the AD and using the working channel of the bronchoscope to directly store or release the AD without general anesthesia, rigid bronchoscopy, fluoroscopy, or bronchography. A total of 6 patients (5 men and 1 woman, aged 66.67 ± 6.19 years [mean ± SD]) had BPF blocking and underwent the SFM in AD implantation. Results AD implantation was successfully performed in all 6 patients with the SFM, 4 persons had a successful closure of the fistula, one person died after few days and one person did not have a successful closure of the fistula. The average duration of operation was 16.17 min (16.17 ± 4.67 min [mean ± SD]). No patients died due to operation complications or BPF recurrence. The average follow-up time was 13.2 months (range 10–17 months). Conclusion We observed that the SFM for AD implantation—with accurate device positioning and a clear field of vision—is efficient and convenient. The AD is effective in BPF blocking, and could contribute to significantly improved symptoms of patients.

scholarly journals COVID-19 pneumonia complicated by bilateral pneumothorax: A case report

2020 ◽  
Vol 31 ◽  
pp. 101230
Author(s):  
Tsuyoshi Shirai ◽  
Takahiro Mitsumura ◽  
Kei Aoyagi ◽  
Tsukasa Okamoto ◽  
Moyu Kimura ◽  
...  
Keyword(s):  
Case Report ◽  
Bilateral Pneumothorax

Effective Approach for the Treatment of Bronchopleural Fistula: Application of Endovascular Metallic Ring-Shaped Coil in Combination With Fibrin Glue

2007 ◽  
Vol 83 (6) ◽  
pp. 2199-2201 ◽  
Author(s):  
Cumhur M. Sivrikoz ◽  
Tamer Kaya ◽  
Cumhur M. Tulay ◽  
İlknur Ak ◽  
Ayten Bilir ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Bronchopleural Fistula ◽  
Metallic Ring

scholarly journals AN ANAESTHETIC TECHNIQUE FOR THE REPAIR OF BRONCHOPLEURAL FISTULA

1962 ◽  
Vol 34 (11) ◽  
pp. 817-821 ◽  
Author(s):  
J.G. FRANCIS ◽  
K. GLENNIE SMITH
Keyword(s):  
Bronchopleural Fistula ◽  
Anaesthetic Technique

scholarly journals Conservative Surgical Management for Pulmonary Hydatid Cyst: Analysis and Outcome of 148 Cases

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Mohammed Aldahmashi ◽  
Mohamed Alassal ◽  
Ibrahim Kasb ◽  
Hany Elrakhawy
Keyword(s):  
Hydatid Cyst ◽  
Bronchopleural Fistula ◽  
Complete Removal ◽  
Conservative Surgery ◽  
Hydatid Cysts ◽  
Rural Regions ◽  
Purse String ◽  
Lung Cysts ◽  
Surgical Methods ◽  
Pulmonary Hydatid Cyst

Background. Hydatid cyst (HC) disease is endemic in many developing countries, like Yemen, Egypt, and Saudi Arabia, especially in the rural regions. The disease has a variable clinical courses and even might be asymptomatic for many years.Objectives. In giant and large pulmonary hydatid cysts, pulmonary resection is the usual method of surgical treatment. In this study, we aimed to evaluate the lung conservative surgery in treatment of cases with giant and large hydatid lung cysts, as an effective method of management.Patients and Methods. Between January 2009 and August 2014, a total of 148 patients with pulmonary hydatid cysts were operated and their data was reviewed retrospectively and analyzed. Out of these cases, 52 (35.14%) cysts with more than 10 cm in diameter and 36 (24.32%) cysts with 5–9 cm were regarded as giant and large hydatid lung cysts, respectively. The small cysts less than 5 cm were presented in 8 (5.4%) cases only; other cases had ruptured cysts. Preservation of the lung tissues during surgery by cystotomy and Capitonnage was our conservative surgical methods of choice.Results. Eight patients developed bronchopleural fistula (BPF); of them, 4 BPFs have healed with chest tube and physiotherapy, but in the other 4 patients reoperation was done for the closure of persistent BPF. No mortality was observed in the present study.Conclusion. We conclude that conservative surgical procedure can achieve complete removal of the pulmonary hydatid cyst. Enucleation of the intact huge cysts is safe. Careful and secured closure of the bronchial communication should be done by purse string or figure-of-8 sutures, with or without Teflon pledgets. These simple procedures are safe, reliable, and successful.

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