Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 32353441.
- Also identified by DOI 10.1016/j.athoracsur.2020.04.011 and PMC identifier 7185014.
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Abstract
Several studies have been published describing the clinical and radiographic findings of coronavirus disease 2019-related pneumonia. Therefore, there is currently a lack of pathologic data on its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic parenchyma and prolonged high-pressure ventilation. Chest drainage represents first-line treatment. However, in cases of persistent pneumothorax, thoracoscopy and bleb resection may be feasible options to reduce air leak and improve ventilation. This report describes the cases of 2 patients with coronavirus disease 2019 who were successfully treated with thoracoscopy, bleb resection, and pleurectomy for persistent pneumothorax.
Medical subject headings
- Betacoronavirus
- Chest Tubes
- Coronavirus Infections
- Pleura
- Pleurodesis
- Pneumonia, Viral
- Pneumothorax
- Thoracoscopy