Early Autologous Blood-Patch Pleurodesis versus Conservative Management for Treatment of Secondary Spontaneous Pneumothorax

Ibrahim, Islam M; Elaziz, Montaser Elsawy Abd; El-Hag-Aly, Mohammed Ahmed

doi:10.1055/s-0038-1642028

Cited by 30 publications

(47 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, early BPP trials at 48 and 72 h for treatment of pneumothorax have been reported in human medicine. 19,30 Financial considerations may also dictate attempts at BPP in human and veterinary medicine. 19 BPP was elected in the cats reported herein based on severe, continuous pneumothorax necessitating continuous suction.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, in adult human medicine autologous BPP recommendations include the use of 50–100 ml total (roughly ⩽1 ml/kg). 17 , 18 , 30 Studies have reported that higher blood volumes (100 ml or 1–2 ml/kg) had more rapid resolution of continuous pneumothorax than lower blood volumes (50 ml). 11 , 16 In children, the volume of fresh whole blood for BBP has been reported and ranged from 1 to 2.5 ml/kg.…”

Section: Discussionmentioning

confidence: 99%

“…Complications associated with autologous BPP in both human and canine patients include transient fever 7 , 8 , 13 and rare reports of infection, empyema and pleural effusion. 6 , 8 , 9 , 13 , 17 , 24 , 30 One human report noted tension pneumothorax secondary to an occluding clot in the thoracostomy tube, emphasizing the need to flush the chest tube once BPP is completed. 32 The canine case series also reported a BPP recipient with hemorrhage into the endotracheal tube encountered during instillation of the autologous blood using a 19 G butterfly needle.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Allogenic blood patch pleurodesis for continuous pneumothorax in three cats

Bersenas

Hoddinott

2020

Journal of Feline Medicine and Surgery Open Reports

View full text Add to dashboard Cite

Case series summary Following diaphragmatic herniorrhaphy, three cats developed a continuous pneumothorax. All three cats required continuous suction to evacuate air from the thoracic cavity. Despite continuous suction, the pneumothorax persisted for all cats and blood patch pleurodesis (BPP) was performed using blood donor cats. All three cats had resolution of their pneumothorax within 24 h of BPP. Relevance and novel information This is the first report of BPP used in feline patients. More recently autologous BPP has been reported for use in dogs and humans, with a reportedly high success rate. BPP may allow timely resolution of continuous pneumothorax in cats and provide an alternative treatment option to prolonged medical management or surgical intervention. Allogenic blood from a donor cat may be necessitated in feline BPP when cardiovascular instability is appreciated in these small patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Allogenic blood patch pleurodesis for continuous pneumothorax in three cats

Bersenas

Hoddinott

2020

Journal of Feline Medicine and Surgery Open Reports

View full text Add to dashboard Cite

show abstract

“…Autologous blood application and pleurodesis are safe, easy, cheap and effective methods. [7,8] It should be considered in cases where the full expansion of the lung cannot be achieved. [8] Indeed, bronchial air leakage can be corrected by creating a fibrin plug within minutes with autologous blood.…”

Section: Discussionmentioning

confidence: 99%

A Case of a Bilateral Giant Bullous Emphysema: Autologous Blood Application for Air Leak

Özalp¹

2019

South Clin Ist Euras

View full text Add to dashboard Cite

Surgery is a treatment choice in the presence of a giant emphysematous bulla (GBE) that covers at least one third of a hemithorax. In this article, a 53-year-old male patient who presented with complaints of progressive shortness of breath, sputum, and inability to perform his daily activities, diagnosed as bilateral GBE after radiological examinations, and post-operative problems were discussed. The right side GBE was operated on. In the postoperative period, there was an air leakage (AL), and the expansion of the lung was insufficient. As soon as respiratory distress and purulent secretion occurred, this important problem was resolved with autologous blood administration. In the presence of GBE, it is difficult to predict the surgical outcome about the lung tissue in the preoperative period. Very serious problems can be encountered in the postoperative period. In the postoperative period, the prolongation of HK and the inability of the lung to expand are very serious problems. Autologous blood application is safe, easy and effective in solving these problems.

show abstract

“…phlebotomizing 50-100 mL of peripheral venous blood followed by its instillation through an existing tube thoracostomy (34). The chest tube is then flushed and clamped or elevated to permit adequate dwell time.…”

Section: A U T O L O G O U S B L O O D P a T C H P L E U R O D E S I S I N V O L V E Smentioning

confidence: 99%

Persistent air leak management in critically ill patients

Kurman¹

2021

J Thorac Dis

View full text Add to dashboard Cite

This review article will clearly elucidate key definitions on this subject, discuss how to classify the severity of an air leak, briefly review PAL epidemiology, identify risk factors, examine guidelines, and explore treatment options. The discussion of treatment strategies will focus on those applicable to critically ill patients who are often not surgical candidates. Hence, surgical strategies will not be covered. DefinitionsPAL refers to the continued air flow from the endobronchial tree to the pleural space. The specific terminology applied to this pathologic communication depends on its origin. An alveolar pleural fistula refers to a connection between the subsegmental bronchus or a more distal portion of the

show abstract

Early Autologous Blood-Patch Pleurodesis versus Conservative Management for Treatment of Secondary Spontaneous Pneumothorax

Cited by 30 publications

References 21 publications

Allogenic blood patch pleurodesis for continuous pneumothorax in three cats

Allogenic blood patch pleurodesis for continuous pneumothorax in three cats

A Case of a Bilateral Giant Bullous Emphysema: Autologous Blood Application for Air Leak

Persistent air leak management in critically ill patients

Contact Info

Product

Resources

About