What is an entrapped lung?

What is an entrapped lung?

In lung entrapment, the lung cannot expand fully because of an active disease, such as malignancy or infection that restricts expansion of the lung and/or visceral pleura. The pleural fluid analysis is usually consistent with an exudate.

What is an empyema tube?

Empyema tube in position. Approximately 4 cm of the empyema-tube extends out of the chest wall with the rest still inside the pleural space. The metal clip prevents the tube from being dislodged into the pleural space. The tube is covered with a sterile gauze or with a colostomy bag based on the amount of drainage.

How painful is chemical pleurodesis?

Pleurodesis can cause some pain, but we will give you painkillers before the procedure to help with this. It is still quite common to feel some discomfort during the procedure.

What is Reexpansion pulmonary edema?

Reexpansion pulmonary edema (RPE) is a relatively rare condition which develops when a collapsed lung is allowed to expand suddenly. Histological abnormalities of the pulmonary micro-vessels as well as mechanical stress exerted during reexpansion are implicated in the pathogenesis of this disorder.

What causes a trapped lung?

The trapped lung is defined as the inability of the lung to expand and fill the thoracic cavity because of a fibrinous restrictive pleural layer that prevents normal visceral and parietal pleural apposition. It is caused by remote inflammation of the pleura and typically presents as chronic stable pleural effusion.

Can you recover from empyema?

During the follow-up four patients suffered a second pneumonia. Conclusions: The long-term recovery of children with parapneumonic empyema is good, since most patients subsequently have normal lung function, chest radiograph, and clinical recovery.

Can your lung collapse after pleurodesis?

When recurrence of pneumothorax happens after pleurodesis or pleurectomy, it is often partial and attributed to incomplete scarring [18]. However, in our patient, a complete collapse of the lung at the pleurectomised side was observed with no evidence of pleural adhesions (Fig.

What is the success rate of pleurodesis?

Pleurodesis success rates were as follow: 17.7% had complete success, 12.9% had partial success, 40.3% had failed pleurodesis, 3.2% died shortly after pleurodesis, and 25.8% were lost to follow-up (Figure 1).

What does unexpandable lung mean?

Unexpandable lung is a mechanical complication resulting in the inability of the lung to expand to the chest wall. In clinical practice, an unexpandable lung may be due to either the presence of pleural disease, endobronchial obstruction resulting in lobar collapse, or chronic atelectasis [1].

How is unexpandable lung identified during initial pleural drainage?

Pleural manometry is useful for identifying unexpandable lung during initial pleural drainage. Unexpandable lung occurring as a consequence of active or remote pleural disease may be separated into two distinct clinical entities termed trapped lung and lung entrapment.

What is a Trapped lung?

The term trapped lung has traditionally been used interchangeably to describe an unexpandable lung occurring from either active or remote pleural disease. Currently, we have adopted a more strict definition for a trapped lung.

What can pleural manometry tell us about Trapped lung?

Pleural manometry can demonstrate abnormal lung expansion during drainage and imaging will demonstrate abnormal visceral pleural thickening found in trapped lung or malignant and inflammatory lung entrapment. Keywords: pleural effusion; pleural manometry; trapped lung; unexpandable lung.