Claim Missing Document
Check
Articles

Found 2 Documents
Search
Journal : Jurnal Respirologi Indonesia

Persistent Air Leak Anggita, Dwi; Wiriansya, Edward Pandu; Santoso, Arif; Putrawan, Harry Azka
Jurnal Respirologi Indonesia Vol 44, No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.432

Abstract

In cases of pneumothorax in the chest tube, the presence of air in the pleural cavity that lasts more than 5 to 7 days can be suspected as a persistent air leak (PAL), especially if an increased amount of air is obtained accompanied by the appearance of bubbles in the water seal drainage (WSD) system. This is the most common complication after surgery (8–26%), although it can be primary spontaneous pneumothorax (PSP) (26%) or secondary spontaneous pneumothorax (SSP) (39%). One condition that often causes difficulties in PAL therapy is infection due to direct contact with the fistula. The presence of PAL is associated with higher morbidity and mortality, prolonged chest tube inserted, and longer hospitalization. Observations of air production in PAL are expected to occur spontaneously within 4 days, if the leak persists, pleurodesis is recommended. If it was possible, surgery is needed to close the leak. Bronchoscopy treatment is only recommended in special circumstances where surgery is contraindicated or the patient refuses the surgical procedure.
Persistent Air Leak Anggita, Dwi; Wiriansya, Edward Pandu; Santoso, Arif; Putrawan, Harry Azka
Jurnal Respirologi Indonesia Vol 44 No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.432

Abstract

In cases of pneumothorax in the chest tube, the presence of air in the pleural cavity that lasts more than 5 to 7 days can be suspected as a persistent air leak (PAL), especially if an increased amount of air is obtained accompanied by the appearance of bubbles in the water seal drainage (WSD) system. This is the most common complication after surgery (8–26%), although it can be primary spontaneous pneumothorax (PSP) (26%) or secondary spontaneous pneumothorax (SSP) (39%). One condition that often causes difficulties in PAL therapy is infection due to direct contact with the fistula. The presence of PAL is associated with higher morbidity and mortality, prolonged chest tube inserted, and longer hospitalization. Observations of air production in PAL are expected to occur spontaneously within 4 days, if the leak persists, pleurodesis is recommended. If it was possible, surgery is needed to close the leak. Bronchoscopy treatment is only recommended in special circumstances where surgery is contraindicated or the patient refuses the surgical procedure.
Co-Authors Abdullah, Rezky Putri Indarwati Ahmad, Izhar Fitrah Ahmadi, Dela Andika Alfian, Dwi Hermin Amanda, Dina Amir, Muzakkir Amrizal Muchtar Annisa, Rifa Ardiyanto Ardiyanto Arif Santoso Asy'hari, Mohammmad Alif Basri, Rezky Pratiwi Lambang Dahliah Dewi, Sentia Djaharuddin, Irawaty Fahira, Alivia Dian Fausiah, Andi Arista Febirianti, Ratna Gabriela Simanjuntak, Mulyani Gayatri, Sri Wahyuni Ginayah, Mir’atul Hannari, Marysha Ikmaniar Harahap, Dwi Adelia Putri Hendarto, Joko Hermiaty, Hermiaty Irawawan, Dian Nirwana Irma Satriani, Irma Irmayanti Irmayanti, Irmayanti Irsandy, Febie Iskandar, Harun Ismail, Muhammad Wirasto K, Irna Diyana Kartika Khathimah, Husnul Kristina Tobing, Hosanna Madolangan, Jamaluddin Maharani, Aulia Masyithah, Ruhul Muhammad Arif Mustafa, Maulana Saggaf Nanda, Meutia Nasruddin, Hermiaty Niken Niken Novriansyah, Zulfikri Khalil Nurmadilla , Nesyana Nurmadilla, Nesyana Pandu, Edward Permatasari, Tiara Pratama, Delfi Putra Pratama, Muh Khairul Purba, Sri Hajijah Putrawan, Harry Akza Putrawan, Harry Azka Rachmat Faisal Syamsu, Rachmat Faisal Rahmawati, Rahmawati Ramadhani, Karlinda Novira Rasfayanah, Rasfayanah Refiana, Revail Ridho Akbar, Muhammad Rizqi, Puan Maulida Syifa Salsabila, Lu’lu Luqyana Amirah sandi, Elmatiana dara Simare-mare , Aman Siska Anggraini, Elya Sodiqah, Yani Sommeng, Faisal Sri Irmandha K Sri Julyani Sri Ramadany, Sri Suraya, Rani Syahril, Erlin Syahruddin, Febie Irsandy Syarkawi, M. Fathir Faisal Thahir Tabri, Nur Ahmad Uswatul Hasanah, Uswatul Utami, Dian Fahmi Wiriansya, Edward Pandu Wiriansyah, Edward Pandu Witriani, Eca Yusuf, Yuskyiah Ananda Zahiyah, Azzah Zamzami, Moh. Fadel Zulfitriani Murfat