Spontaneous Pneumothorax An Update

DR K . Mohammed Areef Specialist in pulmonology B.G.H

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Primary Spontaneous Pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracoscopic image of apical blebs in patient with spontaneous pneumothorax

Secondary Spontaneous Pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Secondary Spontaneous Pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Secondary spontaneous Pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLINICAL EVALUATION AND IMAGING ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

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SIZE OF PNEUMOTHORAX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Volume of pneumothorax (12 3 - 9.5 3 ) /12 3 = 50% Tx suggested : Intercostal tube drainage 9.5 cm 12 cm

TREATMENT OPTIONS FOR SPONTANEOUS PNEUMOTHORAX

Observation ,[object Object],[object Object],[object Object]

Simple aspiration ,[object Object],[object Object],[object Object]

Advantages of simple aspiration ,[object Object],[object Object],[object Object],[object Object],[object Object]

Repeat aspiration and CSAP ,[object Object],[object Object],[object Object],[object Object],[object Object]

CASP ,[object Object],[object Object],[object Object],[object Object]

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Intercostal tube drainage ,[object Object],[object Object],[object Object],[object Object],[object Object]

Complications of ICD ,[object Object],[object Object],[object Object]

Size of tube ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Referral to respiratory specialists ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chest drain suction ,[object Object],[object Object],[object Object]

Chemical pleurodesis ,[object Object],[object Object],[object Object],[object Object]

Chemical Pleurodesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Referral to thoracic surgeons ,[object Object],[object Object],[object Object]

Indications for operative intervention ,[object Object],[object Object],[object Object],[object Object],[object Object]

Surgical strategies ,[object Object],[object Object],[object Object]

Open thoracotomy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Video assisted thoracoscopic surgery (VATS) ,[object Object],[object Object]

Pleural Abrasion ,[object Object],[object Object],[object Object]

Discharge and follow up ,[object Object],[object Object]

PNEUMOTHORAX AND CYSTIC FIBROSIS ,[object Object],[object Object],[object Object],[object Object]

TENSION PNEUMOTHORAX ,[object Object],[object Object],[object Object],[object Object],[object Object]

IATROGENIC PNEUMOTHORAX ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pneumothorax Kit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Future potential areas for research ,[object Object],[object Object],[object Object],[object Object]

Spontaneous Pneumothorax An Update

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