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Updated: Jul 19, 2026
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Air leak and pleural space management.
1Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, F-24, 9500 Euclid Avenue, Cleveland, OH 44195, USA. murthys1@ccf.org
Thoracic Surgery Clinics
|September 29, 2006
Summary
Air leaks after lung surgery are common but usually resolve. Bronchoscopy is advised if no improvement in 1 week, with reintervention considered for large leaks if the lung remains unexpanded after 1-2 weeks.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Surgical Complications
Background:
- Parenchymal air leakage is a frequent complication after lung resection surgery.
- While often self-limiting, air leaks can prolong hospital stays and complicate patient recovery.
Purpose of the Study:
- To outline the recommended management strategies for persistent air leaks following lung resection.
- To provide guidance on the timing of diagnostic and interventional procedures.
Main Methods:
- Review of current clinical practices and literature regarding post-lung resection air leaks.
- Analysis of factors influencing the decision for expectant management versus reintervention.
Main Results:
- Most air leaks resolve spontaneously without intervention.
- Bronchoscopy is recommended for persistent air leaks (no improvement by 1 week).
- Reintervention should be considered for significant air leaks if the lung is not fully expanded after 1-2 weeks.
Conclusions:
- Expectant management is appropriate for most air leaks, especially if the lung is expanded.
- Timely bronchoscopy and consideration of reintervention are crucial for managing persistent or large air leaks.
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