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Prolonged air leak after IPC insertion: An unusual complication
Indwelling pleural catheters [IPC] have an important role in the management of malignant pleural effusions. We report the development of a significant air leak following IPC insertion with resultant extensive subcutaneous emphysema. The air leak developed, presumably, as a result of visceral pleural...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578547/ https://www.ncbi.nlm.nih.gov/pubmed/33101900 http://dx.doi.org/10.1016/j.rmcr.2020.101257 |
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author | Bhatnagar, Malvika Slight, Robert Prasad, Arun Brahmanya Stanton, Andrew Ewing |
author_facet | Bhatnagar, Malvika Slight, Robert Prasad, Arun Brahmanya Stanton, Andrew Ewing |
author_sort | Bhatnagar, Malvika |
collection | PubMed |
description | Indwelling pleural catheters [IPC] have an important role in the management of malignant pleural effusions. We report the development of a significant air leak following IPC insertion with resultant extensive subcutaneous emphysema. The air leak developed, presumably, as a result of visceral pleural disruption, which occurred at the time of vacuum drainage of pleural fluid after IPC placement and not due to lung injury during insertion. The patient required insertion of a large bore intercostal drain connected to low-pressure negative suction. He was eventually discharged home with the aid of an ambulatory system. Although commonly seen in the surgical setting, we believe emergency and respiratory physicians should be aware of the risk of such a complication, and the challenges in its management. |
format | Online Article Text |
id | pubmed-7578547 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-75785472020-10-23 Prolonged air leak after IPC insertion: An unusual complication Bhatnagar, Malvika Slight, Robert Prasad, Arun Brahmanya Stanton, Andrew Ewing Respir Med Case Rep Case Report Indwelling pleural catheters [IPC] have an important role in the management of malignant pleural effusions. We report the development of a significant air leak following IPC insertion with resultant extensive subcutaneous emphysema. The air leak developed, presumably, as a result of visceral pleural disruption, which occurred at the time of vacuum drainage of pleural fluid after IPC placement and not due to lung injury during insertion. The patient required insertion of a large bore intercostal drain connected to low-pressure negative suction. He was eventually discharged home with the aid of an ambulatory system. Although commonly seen in the surgical setting, we believe emergency and respiratory physicians should be aware of the risk of such a complication, and the challenges in its management. Elsevier 2020-10-16 /pmc/articles/PMC7578547/ /pubmed/33101900 http://dx.doi.org/10.1016/j.rmcr.2020.101257 Text en © 2020 Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Bhatnagar, Malvika Slight, Robert Prasad, Arun Brahmanya Stanton, Andrew Ewing Prolonged air leak after IPC insertion: An unusual complication |
title | Prolonged air leak after IPC insertion: An unusual complication |
title_full | Prolonged air leak after IPC insertion: An unusual complication |
title_fullStr | Prolonged air leak after IPC insertion: An unusual complication |
title_full_unstemmed | Prolonged air leak after IPC insertion: An unusual complication |
title_short | Prolonged air leak after IPC insertion: An unusual complication |
title_sort | prolonged air leak after ipc insertion: an unusual complication |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578547/ https://www.ncbi.nlm.nih.gov/pubmed/33101900 http://dx.doi.org/10.1016/j.rmcr.2020.101257 |
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