Measuring gas leakage from bronchopleural fistulas during high-frequency jet ventilation

Ritz, R; Benson, Michael S.; Bishop, Michael J.

doi:10.1097/00003246-198409000-00037

Cited by 17 publications

(8 citation statements)

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“…This method, however, becomes increasingly inaccurate as the size of the leak decreases, particularly when it is less than 200 ml/breath [186]. More accurate, albeit cumbersome, methods have been developed to quantify the amount of flow through a BPF [187–190]. Air flows through BPFs have been reported up to 22 L/min [187].…”

Section: Pleural Effusions In the Icumentioning

confidence: 99%

“…More accurate, albeit cumbersome, methods have been developed to quantify the amount of flow through a BPF [187–190]. Air flows through BPFs have been reported up to 22 L/min [187]. It has been recognized that the air escaping from a BPF does not flow passively from the airways into the pleural space but instead participates to some degree in physiologic gas exchange.…”

Section: Pleural Effusions In the Icumentioning

confidence: 99%

“…More accurate, albeit cumbersome, methods have Bronchopleural Fistula in the ICU. A bronchopleural fistula (BPF) represents a communica-been developed to quantify the amount of flow through a BPF [187][188][189][190]. Air flows through BPFs tion between the bronchial tree and the pleural space.…”

mentioning

confidence: 99%

“…Air flows through BPFs tion between the bronchial tree and the pleural space. BPFs most commonly result from surgical have been reported up to 22 L/min [187]. It has been recognized that the air escaping from a BPF procedures including pneumonectomy, segmentectomy, and wedge resections of the lung with does not flow passively from the airways into the pleural space but instead participates to some de-an incidence of 1.6-6.8% [175].…”

mentioning

confidence: 99%

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Pleural Disease in the Intensive Care Unit

Jantz¹,

Sahn²

2000

J Intensive Care Med

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Pleural disease itself is an unusual cause for admission to the intensive care unit (ICU). Pleural complications of diseases and procedures in the ICU are common, however, and the impact on respiratory physiology is additive to that of the underlying cardiopulmonary disease. Pleural effusion and pneumothorax may be overlooked in the critically ill patient due to alterations in radiologic appearance in the supine patient. The development of a pneumothorax in a patient in the ICU represents a potentially life‐threatening situation. This article reviews the etiologies, pathophysiology, and management of pleural effusion, pneumothorax, tension pneumothorax, and bronchopleural fistula in the critically ill patient. In addition, we review the potential complications of thoracentesis and chest tube thoracostomy, including reexpansion pulmonary edema.

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Section: Pleural Effusions In the Icumentioning

confidence: 99%

Section: Pleural Effusions In the Icumentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Pleural Disease in the Intensive Care Unit

Jantz¹,

Sahn²

2000

J Intensive Care Med

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“…Although not a common cause for bpf, barotrauma-induced fistulas have the same consequences of any bpf: maldistribution of the ventilation and perfusion relationship that can result in hypoxemia, hypercapnia, and increased mortality [47]. Also, the volume of continuing gas loss from such fistulas [48,49] may be dependent on peak airway pressure during inspiration, PEEP, and the amount of suction applied to the chest tube drainage system [48][49][50]. Gas that escapes through the fistula tract has often participated in gas exchange but usually not enough to compensate for the overall ventilation and perfusion mismatch [49,51,52].…”

Section: Mechanisms Of Injurymentioning

confidence: 99%

Pulmonary Barotrauma in the Intensive Care Unit

Powner

1988

J Intensive Care Med

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Disruption of lung parenchyma by airway gas (baro trauma) frequently occurs in the intensive care unit. Gas may move from the airspace into several abnormal loca tions as a result of dissection along anatomical fascial planes to potentially produce interstitial emphysema, subpleural cysts, pneumomediastinum, subcutaneous emphysema, pneumopericardium, pneumothorax, pneu moperitoneum, pneumoretroperitoneum, bronchopleu ral fistulas, and air-entry into blood vessels. Although usually of limited clinical consequence, this extra-alve olar air may produce clinically significant morbidity and mortality. Recognition of these potential complications of pulmonary disease and its therapy may assist the clini cian in correctly diagnosing, avoiding, and treating the manifestations of pulmonary barotrauma.

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Bronchopleural Fistulae

Levin¹

2019

Principles and Practice of Anesthesia for Thoracic Surgery

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Measuring gas leakage from bronchopleural fistulas during high-frequency jet ventilation

Cited by 17 publications

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Pleural Disease in the Intensive Care Unit

Pleural Disease in the Intensive Care Unit

Pulmonary Barotrauma in the Intensive Care Unit

Bronchopleural Fistulae

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