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Doctor insights on: How Does Pneumothorax Happen For No Reason

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How does pneumothorax happen for no reason?

How does pneumothorax happen for no reason?

Happens for a reason: Adolescents & young adults have "spontaneous" pneumothorax more frequently than other folks. The lung tissue usually has a minor congenital defect called a "bleb, " that bursts leading to a leak of air outside the lung - pneumothorax ensues. These folks are usually tall & lean. Of course, trauma can lead to pneumothorax, as can certain illnesses, particularly, marfan's syndrome. ...Read more

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After surgical pleurodesis can a pneumothorax still happen?

After surgical pleurodesis can a pneumothorax still happen?

Yes: Not all pleurodesis are the same. Depends on the agents used, the method of application, and the nature of your pathology, the success rate varies greatly. ...Read more

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How big is the chance that a pneumothorax will happen again after you have received VATS-surgery?

How big is the chance that a pneumothorax will happen again after you have received VATS-surgery?

Less than 5% on side: There is a 50% chance of a recurrence after a spontaneous pneumothorax, without surgery. 60-70% for a second recurrence. That is why surgery is recommended. After surgery, the chance is less, but the other side is a concern. ...Read more

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Is pneumothorax common?

Is pneumothorax common?

Yes: Pneumothorax can be spontaneous and occurs 7.4 and 1.2 per 100, 000 in men & women respectively. It also results after trauma, surgery, respirator therapy and needle biopsy of the lung. Some cases are treated conservatively, others require placement of a surgical chest tube for re-expansion of the lung. ...Read more

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Pneumothorax-- can it come on slowly ?

Pneumothorax-- can it come on slowly ?

Sort of...: It is estimated up to 10% of spontaneous pneumothoraces are asymptomatic and/or unrecognized. It is possible for someone to develop an asymptomatic pneumothorax that progresses and becomes symptomatic hours, even days later. ...Read more

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Is there a cure for pneumothorax?

Is there a cure for pneumothorax?

Yes: It may resolve on its own. It may require a catheter or tube to evacuate the air to relieve any shortness of breath. It may need surgery if it recurs to remove blebs (air cysts) at the top of the lung. ...Read more

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How can I treat tension pneumothorax?

Needle Decompression: Tension pneumothorax is one of the few medical emergencies where a life can be saved or lost in a matter of minutes if not recognized early. While diagnosis can be difficult, treatment is a simple, rapid needle decompression of the pleural space by inserting a large bore angiocatheter just above the 3rd rib. With the patient stabilized a larger chest tube is placed until the pneumothorax resolves. ...Read more

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How debilitating is a tension pneumothorax?

How debilitating is a tension pneumothorax?

Can be deadly: Tension pneumothorax occurs when pressure builds up in one side of the chest and collapses the lung. This is rapidly fatal and is treated as an emergency. Once it is released, a tube is left in the chest for a few days. After it is removed, people usually recover completely. ...Read more

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Can you tell me about pneumothorax surgery?

Several: The first one is the placement of a tube that will go into a water seal or suction to decrease the pressure in the chest cavity against the lung. You then wait for healing and closure. If unable they can do sealing with a clot, patching or oversewing, but the first one is best if it can do it. ...Read more

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What to do if I have surgery for pneumothorax?

A great treatment: Surgery for pneumothorax can be uncomfortable, but ultimately it is the best remedy for this condition. Ideally, it should never come back again after the surgery is done and you have recovered completely. It is very effective, and I have recommended it multiple times to my patients without hesitation. ...Read more

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What could a thoracotomy do for a pneumothorax?

Treatment: Agree with dr tsai. It is very uncommon to use thoracotomy approach for a simple pneumothorax. If surgery is indicated, it is most often by minimally invasive technique (vats). ...Read more

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Are pneumothorax and atelectasis the same thing?

No: Pneumothorax causes atelectasis but ther are other causes of lung collapse. ...Read more

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I would like info about spontaneous pneumothorax?

I would like info about spontaneous pneumothorax?

Unexpected: A spontaneous pneumothorax occurs when there is a sudden increase in pressure in the lung, causing a rupture. Most occur in people having a weakness on the surface of the lung, making it more susceptible to rupture. Treatment, if needed, is usually tube insertion for a first episode, and surgery for subsequent events. ...Read more

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What are the symptoms of spontaneous pneumothorax?

Pain, short breath: Usually pain when it happens, then shortness of breath. Small spontaneous pneumothoraces may have no symptoms. ...Read more

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Is it okay to drink two days after a pneumothorax?

Is it okay to drink two days after a pneumothorax?

Yes: I can't think of a reason the patient cannot drink after a pneumothorax. If it is a pneumomediaatinum with associated esophageal rupture, then that would be reason to keep them npo. But not for a pneumothorax. ...Read more

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Why would someone need a thoracotomy for pneumothorax?

Why would someone need a thoracotomy for pneumothorax?

Prevent recurrence: Usually can be done with a video assisted technique avoiding a true thoracotomy. Recurrence is the usual indication for surgery or job/recreation that involve pressure changes such as scuba diviers and pilots. ...Read more

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What is the most common cause of spontaneous pneumothorax?

What is the most common cause of spontaneous pneumothorax?

Not definite: "the exact pathogenesis of the spontaneous occurrence of a communication between the alveolar spaces and the pleura remains unknown. Most authors believe that spontaneous rupture of a subpleural bleb, or of a bulla, is always the cause of psp..." http://goo.Gl/frgdy. ...Read more

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