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Pneumothorax-II

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

Pneumothorax II: Pathophysiology

Pneumothorax II: Pathophysiology

Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...

Pneumothorax-I

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.

Tracheostomy Decannulation

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...

Tracheostomy: Procedure and Tubes

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...

Pneumonia I: Introduction

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...

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Related Experiment Video

Updated: Jun 20, 2026

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

Pneumopericardium following tracheostomy closure.

Georgios Koloutsos¹, Nikolaos Barbetakis, Efthimios Kirodimos

¹Department of Oral and Maxillofacial Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece.

Tuberkuloz Ve Toraks

|August 29, 2009

Summary

Pneumopericardium, or air in the pericardial sac, is rare. This case shows conservative management effectively treated a patient experiencing this condition after persistent cough post-tracheostomy closure.

Related Experiment Videos

Last Updated: Jun 20, 2026

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

Area of Science:

Cardiology
Thoracic Surgery
Pulmonary Medicine

Background:

Pneumopericardium, air within the pericardial sac, is an uncommon clinical finding.
The etiology of pneumopericardium is often unclear and requires further investigation.
Persistent cough can lead to increased intrathoracic pressure, potentially contributing to air displacement.

Observation:

A case report of a 41-year-old male patient is presented.
The patient developed pneumopericardium one day after the closure of a tracheostomy.
The onset of pneumopericardium was associated with a recent episode of persistent cough.

Findings:

Conservative management was employed for the patient's pneumopericardium.
Management included close hemodynamic monitoring and serial chest X-ray examinations.
This conservative approach proved effective in resolving the condition.

Implications:

This case highlights that pneumopericardium, even after procedures like tracheostomy closure, can be managed non-surgically.
Hemodynamic monitoring and serial imaging are crucial for assessing the resolution of pneumopericardium.
Understanding the potential link between severe cough and pneumopericardium may inform clinical practice.