Emergency drain for post pneumonectomy bronchopleural fistula: A drain placement technique based on the siphon principle

Research output: Contribution to journalArticle

Abstract

Post pneumonectomy bronchopleural fistula (BPF) is a life-threatening complication requiring pleural cavity drainage to avoid acute mediastinal shift and contralateral aspiration pneumonia. Chest drain insertion in this situation may be technically difficult because of drastic anatomical changes such as mediastinal dislocation, diaphragm elevation and, sometimes, massive subcutaneous emphysema. In addition, the most important part of the pleural cavity to be drained is the costophrenic recess that is scarcely drained by a standard chest tube with its tip aiming high and upwards. We propose a safe, simple and effective technique based on the siphon principle to drain the lowest part of the pleural cavity.

Original languageEnglish
Pages (from-to)468-471
Number of pages4
JournalJournal of Thoracic Disease
Volume10
Issue number1
DOIs
Publication statusPublished - Jan 1 2018

Keywords

  • Bronchopleural fistula (BPF)
  • Chest drain
  • Empyema
  • Fistula
  • Pneumonectomy
  • Post pneumonectomy empyema

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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