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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

119
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:
119
Flail Chest-II01:26

Flail Chest-II

160
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:
160
Pneumothorax-I01:26

Pneumothorax-I

168
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.
168
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

173
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...
173
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

196
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.
Description
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...
196
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

1.3K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
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Updated: Jun 1, 2025

Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy
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Traumatic Bilateral Bronchial Injury Requiring Pneumonectomy.

Kevin J Hsu1, Kiyoshi Chandler1, Charles Fasanya1

  • 1Trauma and Acute Care Surgery, Good Samaritan University Hospital, West Islip, USA.

Cureus
|January 21, 2025
PubMed
Summary
This summary is machine-generated.

Severe thoracic trauma from a motor vehicle crash (MVC) led to bilateral bronchial injuries. This case highlights the successful use of bronchial stenting and venovenous extracorporeal membrane oxygenation (VV ECMO) for patient survival and recovery.

Keywords:
bilateral bronchial injuryblunt thoracic traumaendobronchial stentingtraumatic pneumonectomyvenovenous extracorporeal membrane oxygenation

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Area of Science:

  • Trauma Surgery
  • Cardiothoracic Surgery
  • Emergency Medicine

Background:

  • High-energy blunt thoracic trauma presents significant morbidity and mortality risks.
  • Pneumonectomy in trauma patients further escalates mortality rates.
  • Bilateral bronchial injuries are rare but critical complications of thoracic trauma.

Observation:

  • A patient involved in a motor vehicle crash (MVC) sustained severe blunt thoracic trauma with bilateral bronchial injuries.
  • Emergent thoracotomy, pneumonectomy, and bronchial stenting were performed.
  • Venovenous extracorporeal membrane oxygenation (VV ECMO) was initiated to support the patient.

Findings:

  • The patient survived the complex surgical interventions and VV ECMO support.
  • Successful recovery was achieved despite the severity of the injuries.
  • The case demonstrates the feasibility of advanced life support in managing catastrophic thoracic trauma.

Implications:

  • Pulmonary stenting can be a viable option in managing complex bronchial injuries post-trauma.
  • VV ECMO can be crucial for stabilizing patients with severe respiratory compromise from thoracic trauma.
  • This case contributes to the literature on managing life-threatening thoracic injuries and underscores the importance of multidisciplinary critical care.