scholarly journals Frequency and Risk Factors of Bronchopleural Fistula in Tube Thoracostomy Patients

2019 ◽  
Vol 13 (2) ◽  
pp. 95-101
Author(s):  
Syed Khalid Ali
Keyword(s):  
Risk Factors ◽  
Bronchopleural Fistula ◽  
Tube Thoracostomy

Postpneumonectomy empyema: risk factors, prevention, diagnosis, and management

2019 ◽  
Vol 28 (2) ◽  
pp. 89-96
Author(s):  
Harmouchi Hicham ◽  
Issoufou Ibrahim ◽  
Sani Rabiou ◽  
Lakranbi Marouane ◽  
Ouadnouni Yassine ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chest Wall ◽  
Bronchopleural Fistula ◽  
Pleural Space ◽  
Late Period ◽  
Considerable Time ◽  
Goals Of Care ◽  
Acute Period ◽  
Diagnosis And Management ◽  
Contralateral Lung

Postpneumonectomy empyema is a collection of pus in the pleural space after removal of the underlying lung. Postpneumonectomy empyema is a serious complication responsible for high rates of morbidity and mortality. Several risk factors for the development of postpneumonectomy empyema have been highlighted in the literature. The association of postpneumonectomy empyema with a bronchopleural fistula increases the rate of mortality by flooding the remaining lung. The management of postpneumonectomy empyema depends on the timing of presentation and the presence or absence of a bronchopleural fistula. The goals of care in the acute period are mainly preservation of the contralateral lung and sterilization of the pleural space, which may take a considerable time. The aims in the late period are closure of the bronchopleural fistula, obliteration of the pleural space, and closure of the chest wall.

Risk Factors of Extensive Subcutaneous Emphysema after Closed-Tube Thoracostomy for Spontaneous Pneumothorax

2019 ◽  
Vol 85 (2) ◽  
pp. 71-73
Author(s):  
Yoon Seop Kim ◽  
Kyoung-Chul Cha ◽  
Sung Oh Hwang ◽  
Sun Hyu Kim ◽  
Yong Won Kim
Keyword(s):  
Risk Factors ◽  
Subcutaneous Emphysema ◽  
Spontaneous Pneumothorax ◽  
Tube Thoracostomy ◽  
Closed Tube

scholarly journals Risk factors and outcomes of unrecognised endobronchial intubation in major trauma patients

2021 ◽  
pp. emermed-2021-211786
Author(s):  
Guido Heyne ◽  
Sebastian Ewens ◽  
Holger Kirsten ◽  
Johannes Karl Maria Fakler ◽  
Orkun Özkurtul ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Tracheal Intubation ◽  
Major Trauma ◽  
Body Height ◽  
High Body Mass Index ◽  
Tube Thoracostomy ◽  
Trauma Patients ◽  
Endobronchial Intubation ◽  
Short Body

BackgroundEmergency tracheal intubation during major trauma resuscitation may be associated with unrecognised endobronchial intubation. The risk factors and outcomes associated with this issue have not previously been fully defined.MethodsWe retrospectively analysed adult patients admitted directly from the scene to the ED of a single level 1 trauma centre, who received either prehospital or ED tracheal intubation prior to initial whole-body CT from January 2008 to December 2019. Our objectives were to describe tube-to-carina distances (TCDs) via CT and to assess the risk factors and outcomes (mortality, length of intensive care unit stay and mechanical ventilation) of patients with endobronchial intubation (TCD <0 cm) using a multivariable model.ResultsWe included 616 patients and discovered 26 (4.2%) cases of endobronchial intubation identified on CT. Factors associated with an increased risk of endobronchial intubations were short body height (OR per 1 cm increase 0.89; 95% CI 0.84 to 0.94; p≤0.001), a high body mass index (OR 1.14; 95% CI 1.04 to 1.25; p=0.005) and ED intubation (OR 3.62; 95% CI 1.39 to 8.90; p=0.006). Eight of 26 cases underwent tube thoracostomy, four of whom had no evidence of underlying chest injury on CT. There was no statistically significant difference in mortality or length of stay although the absolute number of endobronchial intubations was small.ConclusionsShort body height and high body mass index were associated with endobronchial intubation. Before considering tube thoracostomy in intubated major trauma patients suspected of pneumothorax, the possibility of unrecognised endobronchial intubation should be considered.

scholarly journals Bronchopleural Fistula after Pulmonary Resection: Risk Factors, Diagnoses and Management

2021 ◽  
Author(s):  
Kristina Jacobsen
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Respiratory Distress ◽  
Conservative Management ◽  
Endoscopic Treatment ◽  
Pulmonary Resection ◽  
Bronchopleural Fistula ◽  
Patient Characteristics ◽  
Pleural Space ◽  
Life Threatening

Bronchopleural fistula (BPF) after a pulmonary resection is rare with some of the most life-threatening consequences and a high mortality rate. Contamination of the pleural space resulting in empyema and spillage of the infected fluid into the remaining lung leading to respiratory distress remain the biggest concerns with BPF postoperatively. There are many patient characteristics and risk factors that can be evaluated to decrease the chance of a postoperative BPF. Presentation of BPF can be early or late with the late BPF more difficult to diagnosis and manage. Many options to treat BPF include surgical repair, conservative management, and endoscopic treatment.

scholarly journals CT Follow-Up of Postoperative Bronchopleural Fistula: Risk Factors for Progression to Chronic Complicated Infection

2021 ◽  
Vol 82 ◽  
Author(s):  
Ji-Yeon Han ◽  
Ki-Nam Lee ◽  
Yoo Sang Yoon ◽  
Jihyun Lee ◽  
Hongyeul Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bronchopleural Fistula

Analysis of risk factors in the development of bronchopleural fistula after major anatomic lung resection: experience of a single centre

2017 ◽  
Vol 88 (4) ◽  
pp. 322-326
Author(s):  
Dania Nachira ◽  
Marco Chiappetta ◽  
Leonello Fuso ◽  
Francesco Varone ◽  
Ilaria Leli ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Resection ◽  
Bronchopleural Fistula ◽  
Single Centre ◽  
Anatomic Lung Resection

Bronchopleural Fistula After Pneumonectomy: Risk Factors and Management, Focusing on Open-Window Thoracostomy

2018 ◽  
Vol 30 (1) ◽  
pp. 104-113 ◽  
Author(s):  
Antonio Mazzella ◽  
Alessandro Pardolesi ◽  
Patrick Maisonneuve ◽  
Francesco Petrella ◽  
Domenico Galetta ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bronchopleural Fistula ◽  
Open Window ◽  
Open Window Thoracostomy

scholarly journals Bronchopleural fistula causing persistent pneumothorax in COVID‐19 pneumonia patient with no risk factors

2021 ◽  
Vol 9 (11) ◽  
Author(s):  
Mhd Baraa Habib ◽  
Ibrahim Mohammad Obeidat ◽  
Khaled Ali ◽  
Mohamed Abdelrazek ◽  
Mouhand F. H. Mohamed
Keyword(s):  
Risk Factors ◽  
Bronchopleural Fistula ◽  
Pneumonia Patient

Postpneumonectomy bronchopleural fistula: analysis of risk factors and the role of bronchial stump coverage

Surgery Today ◽  
2019 ◽  
Vol 50 (2) ◽  
pp. 114-122
Author(s):  
Marco Mammana ◽  
Giuseppe Marulli ◽  
Andrea Zuin ◽  
Egle Perissinotto ◽  
Giovanni Maria Comacchio ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bronchopleural Fistula ◽  
Bronchial Stump
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