Related Experiment Video
Updated: Jun 2, 2026
13:27
Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
[Clinical managements for intractable pneumothorax with interstitial pneumonia]
1Department of Thoracic Surgery, Pneumothorax Research Center, Tamagawa Hospital, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|April 16, 2011
Summary
Intractable pneumothorax with interstitial pneumonia (IP) can be fatal due to persistent air leakage. Less invasive treatments like thoracoscopic fibrin glue sealing (TGF) are recommended for high-risk patients.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Critical Care Medicine
Context:
- Intractable pneumothorax associated with interstitial pneumonia (IP) presents a significant mortality risk due to persistent air leakage.
- Patients with IP often undergo immunosuppressive therapy, complicating treatment and healing.
- Conventional treatments like pleurodesis have questionable efficacy in these complex cases.
Purpose:
- To review and recommend optimal management strategies for intractable pneumothorax in patients with interstitial pneumonia.
- To highlight the importance of pre-treatment optimization, including steroid and immunosuppressant reduction.
- To advocate for less invasive interventional procedures over traditional surgery when feasible.
Summary:
- Persistent air leakage in pneumothorax with IP leads to severe complications and mortality.
- Pre-treatment management involving reduction of steroids and immunosuppressants is crucial for successful surgical or interventional outcomes.
- Thoracoscopic fibrin glue sealing (TGF) is a less invasive, recommendable option for high-risk patients, with specific techniques advised for air leak control during surgery.
Impact:
- Improved patient outcomes and reduced mortality in a high-risk population.
- Guidance for clinicians on selecting and performing appropriate interventions for pneumothorax with IP.
- Emphasis on minimizing surgical risks through less invasive methods and optimized patient preparation.
Related Concept Videos
01:27Pneumothorax-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:
Clinical Manifestations:
01:28Pneumonia IV: Management
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
01:30Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:28Pleural Effusion II: Symptoms and Management
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:29Acute Respiratory Failure-V
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...