scholarly journals The efficacy and economical benefits of blood patch pleurodesis in secondary spontaneous pneumothorax patients

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

scholarly journals Efficacy of Blood-Patch Pleurodesis for Secondary Spontaneous Pneumothorax in Interstitial Lung Disease

2011 ◽  
Vol 50 (11) ◽  
pp. 1157-1162 ◽  
Author(s):  
Kensaku Aihara ◽  
Tomohiro Handa ◽  
Sonoko Nagai ◽  
Kiminobu Tanizawa ◽  
Kizuku Watanabe ◽  
...  
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax ◽  
Blood Patch

scholarly journals Autologous blood-patch pleurodesis for secondary spontaneous pneumothorax with persistent air leak

1999 ◽  
Vol 93 (6) ◽  
pp. 432-434 ◽  
Author(s):  
M. ANDO ◽  
M. YAMAMOTO ◽  
C. KITAGAWA ◽  
A. KUMAZAWA ◽  
M. SATO ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Autologous Blood ◽  
Air Leak ◽  
Secondary Spontaneous Pneumothorax ◽  
Blood Patch ◽  
Persistent Air Leak

Autologous Blood Patch Pleurodesis for the Management of a Persistent Air Leak after Secondary Spontaneous Pneumothorax

Respiration ◽  
2021 ◽  
pp. 1-5
Author(s):  
Jane A. Shaw ◽  
Elisma Wilken ◽  
Brian W. Allwood ◽  
Elvis M. Irusen ◽  
Coenraad F.N. Koegelenberg
Keyword(s):  
Spontaneous Pneumothorax ◽  
Autologous Blood ◽  
Treatment Options ◽  
Case Series ◽  
Cost Effective ◽  
Air Leak ◽  
Secondary Spontaneous Pneumothorax ◽  
Blood Patch ◽  
Successful Group ◽  
Persistent Air Leak

Patients with secondary spontaneous pneumothorax (SSP) complicated by persistent air leak (PAL) and who are poor surgical candidates have limited treatment options. This case series explored autologous blood patch pleurodesis as a possible cost-effective management option. A total of 46 episodes of SSP with PAL were included. The procedure was successful in 33 (71.7%). Of these, 17 (51.5%) resolved within 1 day. The mean duration of intercostal drainage prior to the blood patch was 22 days in the successful group. Pneumothoraces with incomplete lung re-expansion at the time of procedure were successful in 20 of 30 (66.7%). Only human immunodeficiency virus infection was associated with failure (<i>p</i> = 0.03). Adverse events included transient fever (<i>n</i> = 3) that resolved spontaneously, and empyema (<i>n</i> = 3) which were successfully managed with antibiotics and pigtail drainage. We conclude that a large proportion of patients with SSP complicated by PAL who are unfit for surgery may be liberated from intercostal drainage by an autologous blood patch pleurodesis, with minimal adverse effects.

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

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

Pleurodesis After Bronchial Occlusion for Inoperable Secondary Spontaneous Pneumothorax

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