Management of the Secondary Spontaneous Pneumothorax: Current Guidance, Controversies, and Recent Advances

Nava, George; Walker, Steven

doi:10.3390/jcm11051173

Cited by 20 publications

(21 citation statements)

References 61 publications

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“…mendasarinya, seperti penyakit paru obstruktif kronis (PPOK), penyakit paru interstisial, cystic fibrosis, kanker paru, atau kondisi akut seperti Pneumocystis jirovecii pneumonia atau pneumonitis Covid-19. 2 Pneumothorax spontan merupakan permasalahan klinis yang cukup sering dijumpai di Instalasi Gawat Darurat (IGD). 4 Pasien mungkin datang dengan gejala seperti takikardia dan sesak napas.…”

Section: Case Reportunclassified

“…1,3 Pneumothorax spontan sekunder adalah kondisi yang berlawanan dengan pneumothorax spontan primer, kondisi ini terjadi pada pasien dengan penyakit paru yang mendasarinya, seperti penyakit paru obstruktif kronis (PPOK). 2 Pneumothorax spontan sekunder lebih banyak terlihat pada pasien usia lanjut (60-65 tahun). Insiden pneumothorax spontan sekunder masing-masing adalah 6,3 dan 2 kasus untuk pria dan wanita per 100.000 pasien.…”

Section: Diskusiunclassified

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Pneumothorax Spontan pada Pasien Penyakit Paru Obstruktif Kronis

Sihombing

2023

MEDICINUS

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Pneumothorax spontan sekunder dapat terjadi akibat adanya penyakit paru yang mendasarinya. Penyakit paru obstruktif kronis merupakan penyebab tersering dari pneumothorax spontan sekunder. Kondisi ini dapat berkembang menjadi tension pneumothorax yang berpotensi fatal dan mengancam jiwa. Dalam kasus ini, seorang pria berusia 63 tahun datang dengan keluhan sesak napas berat. Pasien mempunyai riwayat penyakit paru obstruktif kronis. Dari foto polos toraks ditemukan adanya pneumothorax di sisi kanan. Kemudian segera dilakuan dekompresi jarum karena dugaan kondisi tension pneumothorax. Setelah dilakukan dekompresi jarum keluhan sesak napas berkurang, kemudian pasien direncanakan untuk menjalani pemasangan water seal drainage di ruang intensive care unit.

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Section: Case Reportunclassified

Section: Diskusiunclassified

Pneumothorax Spontan pada Pasien Penyakit Paru Obstruktif Kronis

Sihombing

2023

MEDICINUS

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“…The migration of air from the lung into the pleural cavity without trauma is known as a spontaneous pneumothorax (SP). Secondary spontaneous pneumothorax (SSP), as opposed to primary spontaneous pneumothorax (PSP), is the term used to describe an SP in a patient with an underlying chronic lung pathology, such as COPD [ 6 ]. Spontaneous pneumothorax shows a bimodal age distribution, with the secondary peak including patients aged ≥50 years The most prevalent underlying condition linked to spontaneous pneumothorax in the aged population is pulmonary emphysema [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Elementary Pulmonary Rehabilitation Protocol to Ameliorate Functionality Level in Case of Pneumothorax Following Emphysema: A Case Report

Bhagwani¹,

Yadav²,

Dhait³

et al. 2022

Cureus

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Chronic obstructive lung disease (COPD) has been reported as the third leading cause of death globally. The main risk factor for a significant portion of emphysema patients is tobacco use. Additionally, occupational exposure to wood dust enhances the risk of acquiring respiratory disorders, since the respirable wood dust settles into the bronchioles and alveoli and causes lung irritation which presents symptoms like mucus hypersecretion and breathlessness. A secondary complication, emphysema-induced pneumothorax, in the elderly requires the medical intervention of intercostal drainage (ICD) to allow the leak of air out of the thoracic cavity. In this article, we present a case of a 65-year-old male who visited the respiratory department with complaints of breathlessness, fever, and cough with expectoration for four days. He reports a history of tobacco smoking for 30 years with prior hospitalization seven years ago with similar complaints. The patient was initially diagnosed with pulmonary emphysema, which later progressed to spontaneous pneumothorax. He underwent medical management with ICD, which was successful. Following this, an integrated rehabilitation program using various breathing strategies was established in order to get the patient back to his regular daily activities with minimal signs of exhaustion or dyspnea. This protocol proved to be successful in enhancing the patient's respiratory condition.

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“…This Special Issue in the Journal of Clinical Medicine (JCM) brings together a series of high-quality scientific contributions that try to weave a common thread that extends from the etiology to the treatment of SP [ 1 , 2 , 3 , 4 , 5 ]. The covered topics distinctly point out the issues related to PSP and SSP, although both diseases present some similar approaches in the diagnostic–therapeutic path.…”

mentioning

confidence: 99%

“…SSP, as defined by the British Thoracic Society (BTS) guidelines [ 16 ], is a pneumothorax occurring in patients with underlying lung disease, or in patients over 50 years of age with a significant smoking history. Underlying lung diseases include chronic obstructive pulmonary disease, interstitial lung disease, lung infections (i.e., pneumocystis, COVID-19, tuberculosis), lung cancer, and endometriosis [ 3 , 5 ]. SSP is more common than PSP, representing, according to English SP epidemiological data, over 60% of pneumothoraces.…”

mentioning

confidence: 99%