Nonexpandable lung after drainage of pneumothorax

Galvis, A Gast; Bowen, AʼDelbert; Ks, Oh

doi:10.2214/ajr.136.6.1224

Cited by 11 publications

(2 citation statements)

References 8 publications

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“…Atelectatic alveoli do not reexpand immediately when the ventilator cycles with the inspiratory phase because a variable period of time is required before the alveolar critical opening pressure is reached. 30 Therefore, the third important factor, the use of an inspiratory hold during MH, is thought to maintain these pressure gradients for an appropriate length of time. This technique may influence the distribution of the ventilation 25 and allow time for alveolar inflation or enlargement, as well as the recruitment or unfolding of interdependent atelectatic alveoli.…”

mentioning

confidence: 99%

Manual Hyperinflation Improves Alveolar Recruitment in Difficult-to-Wean Patients

Maa

Hung

Hsu

et al. 2005

Chest

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mentioning

confidence: 99%

Manual Hyperinflation Improves Alveolar Recruitment in Difficult-to-Wean Patients

Maa

Hung

Hsu

et al. 2005

Chest

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“…Tube thoracostomy fails in these conditions as the primary pathology and mechanism of pneumothorax remain uncorrected. [ 9 , 10 ] Chest tubes are not beneficial to asymptomatic patients with malignant lung parenchymal disease and pneumothorax ex vacuo. Malignant infiltration of the lung tissue leads to poor lung compliance and unresponsiveness to chest tubes.…”

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confidence: 99%

Pneumothorax ex vacuo: Three cases of an uncommon entity

et al. 2023

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Pneumothorax is a frequently encountered entity in pulmonary practice and can be primary or secondary. Traumatic and iatrogenic causes also account for a minority of cases presenting to the chest physician. The most common therapeutic intervention done is a tube thoracostomy in all but the mildest of cases. Pneumothorax ex vacuo is a distinctly uncommon entity that differs considerably from the rest of the pneumothorax cases in its pathogenesis, clinical manifestations, radiological findings, and management. Pneumothorax in this entity results from the sucking in of air into the pleural space caused by an exaggerated negative intrapleural pressure, which is most frequently secondary to acute lobar collapse. Symptoms attributable to pneumothorax per se are distinctly mild and the vital aspect of treatment is to relieve the bronchial obstruction. Tube thoracostomy fails to relieve the pneumothorax in such cases and should be avoided. We share three cases of pneumothorax ex vacuo encountered in our institution and alert clinicians of the presentation, radiology, and management of this uncommon condition.

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Surgery of the Airway, Thorax, and Diaphragm: Residual Problems and Complications

Kassner¹,

Kottmeier²

1985

Radiology of Iatrogenic Disorders

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Nonexpandable lung after drainage of pneumothorax

Cited by 11 publications

References 8 publications

Manual Hyperinflation Improves Alveolar Recruitment in Difficult-to-Wean Patients

Manual Hyperinflation Improves Alveolar Recruitment in Difficult-to-Wean Patients

Pneumothorax ex vacuo: Three cases of an uncommon entity

Surgery of the Airway, Thorax, and Diaphragm: Residual Problems and Complications

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