Silver nitrate through flexible bronchoscope in the treatment of bronchopleural fistulae

Abstract

The local application of silver nitrate through a flexible bronchoscopic brush produced a burn and healing process on the mucosa of small bronchopleural fistulae of the central airways, leading to effective and lasting treatment in most cases.

High-Frequency Oscillatory Ventilation in an Infant With Necrotizing Pneumonia and Bronchopleural Fistula

“…Several therapeutic options have been reported for the management of bronchopleural fistulas in adults, including independent lung ventilation, 16,17 interventional bronchoscopy, and closure of the bronchopleural fistula with various devices or materials, [18][19][20] but those approaches were technically not possible in our patient. [18][19][20] Our patient was not a candidate for lobectomy, because the necrotizing pneumonia process was not limited to one lobe. [18][19][20] Furthermore, our trial of unilateral lung (left lung) ventilation failed, which left HFOV as the most logical intervention to deal with the failure of conventional ventilation.…”

“…[18][19][20] Our patient was not a candidate for lobectomy, because the necrotizing pneumonia process was not limited to one lobe. [18][19][20] Furthermore, our trial of unilateral lung (left lung) ventilation failed, which left HFOV as the most logical intervention to deal with the failure of conventional ventilation.…”

Komplikationsmanagement in der Chirurgie

“…So wurden in kleinen retrospektiven Fallserien Fisteln nach Pneumonektomie und Lobektomie erfolgreich durch endoskopische intramurale Unterspritzung von 1 ml 1%igem Silbernitrat ausgeheilt (Boudaya et al 2013;Stratakos et al 2009). So wurden in kleinen retrospektiven Fallserien Fisteln nach Pneumonektomie und Lobektomie erfolgreich durch endoskopische intramurale Unterspritzung von 1 ml 1%igem Silbernitrat ausgeheilt (Boudaya et al 2013;Stratakos et al 2009).…”

Silver Nitrate in Interventional Pulmonology

“…14 Nonetheless, bronchoscopic exploration is important as a diagnostic and therapeutic intervention. 19 Silver nitrate acts as a cauterizing agent on the mucosa, leading to coagulation of cellular protein with eschar formation. Hartmann and Rausch 15 and Ratliff et al 16 reported the first successful endobronchial management of BPF using tissue glue and a lead shot, respectively.…”