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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...

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Autores principales: Bhatnagar, Malvika, Slight, Robert, Prasad, Arun Brahmanya, Stanton, Andrew Ewing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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.
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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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