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Related Concept Videos

Pneumothorax-II01:27

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:
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...

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Related Experiment Video

Updated: Jun 18, 2026

Robotic-assisted Bronchoscopy Combined with Multimodal Imaging for Targeted Lung Cryobiopsies
04:10

Robotic-assisted Bronchoscopy Combined with Multimodal Imaging for Targeted Lung Cryobiopsies

Published on: July 19, 2024

Transbronchoscopic selective bronchial occlusion for intractable pneumothorax.

Yiming Zeng1, Minli Hong, Huaping Zhang

  • 1Department of Respiratory Disease, The Second Affiliated Hospital of Fujian Medical University, Quanzhou City, Fujian, China. zeng_yi_ming@126.com

Respirology (Carlton, Vic.)
|November 10, 2009
PubMed
Summary

Transbronchoscopic balloon detection (TBD) and selective bronchial occlusion (SBO) effectively treat intractable pneumothorax. These safe procedures achieved a 70% cure rate in patients with persistent air leaks, with no significant complications observed.

Related Experiment Videos

Last Updated: Jun 18, 2026

Robotic-assisted Bronchoscopy Combined with Multimodal Imaging for Targeted Lung Cryobiopsies
04:10

Robotic-assisted Bronchoscopy Combined with Multimodal Imaging for Targeted Lung Cryobiopsies

Published on: July 19, 2024

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Interventional Pulmonology

Background:

  • Intractable pneumothorax poses a significant clinical challenge, often requiring prolonged chest tube drainage.
  • Persistent air leaks and failure of conservative management necessitate advanced therapeutic strategies.

Purpose of the Study:

  • To evaluate the efficacy, safety, and complication profile of transbronchoscopic balloon detection (TBD) and selective bronchial occlusion (SBO) for intractable pneumothorax.

Main Methods:

  • Forty patients with persistent pneumothorax (>7 days chest tube drainage) underwent TBD and SBO.
  • Bronchial fistula identification via TBD, followed by SBO to occlude air leakage.
  • Oxygen saturation monitoring during procedures and thoracic CT scans post-procedure.

Main Results:

  • TBD successfully located the affected bronchus in 85% of patients.
  • SBO achieved initial air leak cessation in 30 patients, with a 70% overall cure rate after one or two occlusions.
  • Procedures demonstrated good safety, with transient, mild hypoxemia in some cases and no obstructive atelectasis on CT scans.

Conclusions:

  • Transbronchoscopic balloon detection and selective bronchial occlusion represent safe and effective therapeutic options for intractable pneumothorax.
  • These minimally invasive techniques offer a viable alternative to surgery for select patients.