Pneumothorax pleurodesis: what are the advantages and disadvantages?

Written by Han Shun Li

Pulmonology

Updated on September 03, 2024

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Pleurodesis for pneumothorax involves injecting a sclerosant into the pleural cavity to induce a sterile inflammation, causing adhesion of the parietal and visceral pleurae, thereby eliminating the pleural space. This can be used to treat pneumothorax. The benefits include a high success rate, simple operation, and low recurrence rate. The downside is that there can be adverse reactions, the most common being chest pain and fever; severe cases may cause acute respiratory distress syndrome. Therefore, extra care is needed during the pleurodesis procedure.

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Written by Wang Xiang Yu

Pulmonology

57sec

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What department should I go to for pneumothorax?

What department is pneumothorax treated in? For pneumothorax, we commonly see patients first in the emergency department, as the onset of pneumothorax is generally very sudden and the condition can be quite severe. The patient may suddenly experience difficulty breathing, and in most cases, this breathing difficulty is severe. Therefore, patients typically start by seeing the emergency internal medicine department. The doctors there will assess the patient’s condition and will consult with thoracic and cardiovascular surgery and respiratory medicine. If a closed thoracic drainage tube is needed, our surgeons will immediately perform the drainage. If the patient can be treated conservatively, they are usually then transferred to either respiratory medicine or thoracic and cardiovascular surgery for further treatment.

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Written by Zhang Zhi Gong

Cardiothoracic Surgery

1min 15sec

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How many days after pneumothorax can one smoke?

For patients with pneumothorax, it is advised to strictly quit smoking, as smoking greatly increases the recurrence of pneumothorax. Smoking leads to airway inflammation and respiratory bronchitis. Among male patients with pneumothorax, compared to non-smokers, smokers have a significantly higher incidence of pneumothorax, which is related to the degree of smoking. If the patient smokes less than half a pack, the recurrence rate of his pneumothorax is about 7 times higher. For moderate smokers, those who smoke between half a pack and one pack, the recurrence rate increases to 21 times. If one smokes a pack a day, the recurrence rate rises to 102 times, this is in males. In females, for those smoking less than half a pack, between half a pack and one pack, and more than one pack, the recurrence rates of pneumothorax become 4 times, 14 times, and 68 times respectively. Therefore, for both male and female patients with pneumothorax, smoking significantly increases the probability of recurrence. So, once pneumothorax is resolved, quit smoking as well, to prevent any future recurrences.

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Written by Han Shun Li

Pulmonology

52sec

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How long after a pneumothorax can the drainage tube be removed?

Pneumothorax occurs when the pleura ruptures and gas enters the pleural cavity. After the occurrence of pneumothorax, chest drainage by inserting a tube into the pleural cavity to remove the air is a common treatment. Generally, in most cases, after effective drainage for a few days, the lung can re-expand and the rupture can heal. Under these circumstances, it is common to clamp the drainage tube and observe for about two days. Then, a chest X-ray is re-examined and if there is no air, the tube can be removed. If air reappears after clamping, continued drainage is necessary. If the rupture does not heal and pneumothorax remains unresolved even after two weeks of drainage, and if the patient's physical condition allows, surgical treatment may be considered.

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Written by Wang Xiang Yu

Pulmonology

28sec

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Pneumothorax, which department should it go to?

Which department is better for pneumothorax treatment? There isn't a strict definition dictating which specific department one must visit for pneumothorax. Generally, you can visit the respiratory department or the cardiothoracic surgery department. If the patient's condition is very severe, then the first choice should be the emergency department, where emergency treatment can be provided before further referral.

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Written by Yuan Qing

Pulmonology

52sec

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How is the fluid in pneumothorax drained?

Pneumothorax with effusion is mostly due to trauma or structural issues in the lungs themselves, leading to lung rupture, accompanied by intrathoracic hematomas, effusion, or pneumothorax. This condition is known as hydro-pneumothorax. Generally speaking, the treatment method depends on the severity of the hydro-pneumothorax. Usually, a mild case can be absorbed by the patient naturally. However, if the pneumothorax occupies more than 30% of the thoracic cavity, closed thoracic drainage should be implemented, along with the removal of pleural effusion for absorption to take place. Of course, the specific disease must be clearly identified, which might require repair, tumor resection, or anti-tuberculosis treatment to ultimately address the cause of the disease.