7:50 AM
Aftab Ahmad Khan Yousafzai
It is accumulation of air in the pleural cavity.
Classification of Pneumothorax:
A. Spontaneous Pneumothorax:
The
Pneumothorax that is not caused by trauma is called spontaneous
Pneumothorax. It is divided into primary and secondary Pneumothorax.
a. Primary Pneumothorax:
It usually occurs in young thin people usually due to deficiency in elements of wall of alveoli.
b. Secondary Pneumothorax:
It occurs due to a pre-existing lung disease i.e. COPD, TB, lung Abscess, Bronchiectasis
B. Traumatic Pneumothorax:
It occurs due to Trauma also included pleural biopsy, bronchoscopy etc.
C. Tension Pneumothorax:
Basically there is ball valve mechanism involved in it.
Clinical features:
Ø Breathless
Ø Pain
Ø Tachypnea
Ø Percussion is hyper-resonance
Ø Decreased chest wall movement depending on the extent of Pneumothorax
Management of Pneumothorax:
For Young:
o If the patient is young having air rim > 2 cm, ⁺breathless - if no features - there is no need of treatment.
if features are present
o Then aspirate by three way cannula - If Pneumothorax resolved send patient to home
If attempt failed
o -Again aspirate by three way cannula - If Pneumothorax resolved send patient to home
If again failed
o Then insert an intercostals tube with under water seal.
For Old:
o If the patient is old > 55 years age having air rim > 2 cm, ⁺breathless - if no features - there is no need of treatment.
if features are present
o Then aspirate by three way cannula - If Pneumothorax resolved send patient to home
If attempt failed
o Again aspirate by three way cannula - If Pneumothorax resolved send patient to home
If again failed
o Then insert an intercostals tube with under water seal.
Posted in: Surgery; Thorax
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