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Pneumothorax-II01:27

Pneumothorax-II

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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:
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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.
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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
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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.
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Related Experiment Video

Updated: Feb 25, 2026

Author Spotlight: An Effective Traditional Chinese Medicinal Treatment for Chronic Obstructive Pulmonary Disease with Abdominal Distension
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Bilateral pneumothoraces following acupuncture.

Palmi Oskarsson1, Craig Andrew Walker1,2, Simon Leigh-Smith1,3

  • 1Emergency Department, Royal Infirmary of Edinburgh, Edinburgh, UK.

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|August 5, 2017
PubMed
Summary

Acupuncture on the upper back caused a woman to experience shortness of breath and chest tightness due to bilateral pneumothoraces. Prompt treatment with chest drains resolved her symptoms, highlighting a rare adverse event of acupuncture.

Keywords:
cardiothoracic surgeryemergency medicine

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Area of Science:

  • Medicine
  • Acupuncture
  • Pulmonology

Background:

  • Acupuncture is a traditional Chinese medicine technique used to treat various conditions, including chronic pain.
  • Complications from acupuncture, though rare, can occur and require prompt medical attention.

Observation:

  • A 50-year-old female presented with acute shortness of breath and chest tightness post-acupuncture treatment for left shoulder pain.
  • Physical examination revealed signs of respiratory distress.
  • Chest X-ray confirmed the presence of bilateral pneumothoraces, a condition where air leaks into the space between the lungs and chest wall.

Findings:

  • The patient's symptoms of respiratory distress and chest tightness were directly linked to the acupuncture procedure.
  • Bilateral pneumothoraces were diagnosed as the cause of her symptoms.
  • Treatment with bilateral Seldinger chest drains led to a complete resolution of the pneumothoraces and associated symptoms.

Implications:

  • This case highlights a rare but serious adverse event associated with acupuncture, specifically pneumothorax.
  • Healthcare providers and acupuncturists must be aware of the potential risks of acupuncture, especially when performed on the upper back.
  • Patient education regarding potential complications and prompt recognition and management of adverse events are crucial for patient safety in acupuncture practice.