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[15] [29] [59] In 1941, the surgeons Tyson and Crandall introduced pleural abrasion for the treatment of pneumothorax. [15] [60] Prior to the advent of anti-tuberculous medications, pneumothoraces were intentionally caused by healthcare providers in people with tuberculosis in an effort to collapse a lobe, or entire lung, around a cavitating ...
Intrapleural fibrinolysis with urokinase decreased the need for surgery but there is a trend to increased serious side effects. [ 18 ] Approximately 15 to 40 percent of people require surgical drainage of the infected pleural space because of inadequate drainage due to clogging of the chest tube or loculated empyema. [ 19 ]
There are two lines of treatment for Pisa syndrome. The first line entails discontinuation or reduction in dose of the antipsychotic drug(s). The second line of treatment is an anticholinergic medication. A pharmacological therapy for Pisa syndrome caused by prolonged use of antipsychotic drugs has not been established yet. [10]
After these stabilizing measures, further treatment depends on the cause. Treatment of the underlying condition can quickly resolve the shock. For tension pneumothorax, needle decompression should be done immediately. A chest tube is also inserted. [3] [8] Cardiac tamponade is treated through needle or surgical decompression. [3]
Lung procedures, like surgery, drainage of fluid with a needle, examination of the lung from the inside with a light and a camera, or mechanical ventilation, also can cause a pneumothorax. The most common symptom is sudden pain in one side of the lung and shortness of breath. A pneumothorax also can put pressure on the lung and cause it to ...
Catamenial pneumothorax: this is the most common clinical manifestation, present in 80% of cases. Catamenial pneumothorax is defined as a recurrent pneumothorax that occurs within the first 72 hours after menstruation. It may not necessarily occur with every menstrual cycle and in most cases is one-sided and on the right side.
Nasal medications containing diluted hydrochloric acid, chlorobutanol, and benzyl alcohol have been reported to be effective in some patients, with few side effects. Food and Drug Administration approval is still pending, however. [12] Nasal sprays have also been a very effective temporary treatment for this disease, as well. [13]
Treatment of the flail chest initially follows the principles of advanced trauma life support. Further treatment includes: Further treatment includes: Good pain management includes early regional anesthesia (e.g. intercostal blocks or erector spinae plane blocks [ 14 ] ) and avoiding opioid pain medication as much as possible.