PNEUMOTHORAX: HOW TO OPTIMIZE FAVORABLE OUT COME

Introduction: The Pneumothorax (PTX) is the presence or accumulation of air in the pleural space and that leads to variable clinical presentation and to life-threatening hypoxia and even cadiogenic shock. A quick diagnosis and management is the key to success with precise and minimally invasive procedures. However recurrent PTX and partial or unexpanded lung remained a challenge.

Discussion: A sudden onset of shortness of breath and chest pain were the most common presenting symptom. A quick clinical diagnosis and management, even in absence of CXR, is crucial to prevent mortality, specially in context of cases of accidental chest injury and or tension PTX. A timely recognition of common complications like hemo- or pyo-pneumothorax, BP fistula, persistent air leak, mediastinal emphysema, pleural peel, fibrothorax and the presence of underlying lung diseases with associated comorbidities affect the favorable prognosis and outcomes.

Conclusion: Pneumothorax is one of the frequently encountered emergency of respiration department. A quick recognition of problem with the placement of intercostal drainage (ICD) system with an under water seal is life saving. The pneumothorax needs to be included as part of CME on respiratory emergencieswith status asthmaticus, respiratory failure, foreign body removal, ARDS etc, especially for primary health services. The respiratory physicians at tertiary care are already successfully performing various diagnostic and therapeutic procedures needed to be fully equipped.