Pneumothorax, Prolonged Air Leak, & Bronchopleural Fistula
Explores chest tube selection, suction strategies, blood patching, valves/spigots, fistula closure options, and postoperative/ventilated patient nuances.
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Exam mapping & scope
This chapter covers recognition and management of pneumothorax (primary, secondary, iatrogenic, traumatic), persistent/prolonged air leaks (PAL), alveolar-pleural fistula (APF), and bronchopleural fistula (BPF). It emphasizes guideline-concordant triage, procedural steps (needle aspiration, chest drains, ambulatory systems), bronchoscopic therapies (valves, spigots, sealants, stents, occluders), surgical options, and complication prevention. Domains: Pleural disease, interventional pulmonology (diagnostic and therapeutic bronchoscopy), peri-procedural management.
Focus this round
- Chest tube strategy
- Valve selection
- Weaning pathways