Patient?s Home Care Management (Jcvs - 2010)
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Patient?s Home Care Management (Jcvs - 2010) - 1

PATIENT'S HOME CARE MANAGEMENT CHRONIC PNEUMOTHORAX USING P. L. FILOSSO, R. GIOBBE, L. BRUSSINO, E. RUFFINI, A. OLIARO MINERVA MEDICA

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Patient?s Home Care Management (Jcvs - 2010) - 2

J CARDIOVASC SURG 2010;51 Patient’s home care management in persistent air leaks and chronic pneumothorax using a new drainage system P. L. FILOSSO 1, R. GIOBBE 1, L. BRUSSINO 2, E. RUFFINI 1, A. OLIARO 1 The management of persistent air leaks (PALs) is one of the most common problems in general thoracic surgery, especially after elective pulmonary resections. The statistically most frequent air leak is caused by alveolar-pleural fistula (APF), which is defined as a link between the pulmonary parenchyma distal to a segmental bronchus, and the pleural space. Prolonged air leaks result in an...

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Patient?s Home Care Management (Jcvs - 2010) - 3

FILOSSO AT HOME MANAGEMENT OF PALS AND CHRONIC PNX Figure 2.—Drentech Simple PLUS® chest drainage system (A) and its use at home with the patient (B). pleurectomy in order to achieve histological diagnosis of pulmonary nodules and to treat PNX. Lung and parietal pleura invasion by arthritic nodules was histologically diagnosed (Figure 2). Despite pleurectomy, PNX and air leaks persisted. The patient underwent a thoracoscopic talc poudrage, with a consequent reduction of PALs. The drainage was placed under water seal, but PNX and intense air leaks reappeared. All the attempts to reduce the...

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Patient?s Home Care Management (Jcvs - 2010) - 4

AT HOME MANAGEMENT OF PALS AND CHRONIC PNX Figure 3.—Chest X-ray during patient’s home management: rightsided PNX did not increase with Drentech Simple PLUS®chest drainage system. Discussion APFs are extremely common in general thoracic practice, especially after elective pulmonary resections, and are reported in about 30% of cases.1, 2 Risk factors for APF include wound-healing problems, which may be caused by steroid use, pulmonary emphysema, upper lobectomy, presence of diffuse adhesions and extended pulmonary resections that leave a large pleural space deficit.3 Lung biopsies for...

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