Can thoracic surgery cause pneumothorax?

Can surgery cause a pneumothorax?

Pneumothorax is a rare complication during general anesthesia. It can be due to surgical or anesthetic procedures that damage the pleural surface. The incidence of barotrauma in postoperative patients has been reported to be as low as 0.5%.

What medical procedures can cause pneumothorax?

Traumatic pneumothorax

  • trauma to the chest from a motor vehicle accident.
  • broken ribs.
  • a blow to the chest during a contact sport, like football tackle.
  • a stab or bullet wound to the chest.
  • accidental damage during a medical procedure like a central line placement, ventilator use, lung biopsies, or CPR.

What are the complications of thoracotomy?

Possible risks from thoracotomy include:

  • infection.
  • bleeding.
  • air leaking from your lungs.
  • pneumonia.
  • blood clot in your leg (deep vein thrombosis) that can travel to a lung and cause a blockage (pulmonary embolism)

What procedure has a risk for the complication of pneumothorax?

Latrogenic pneumothorax: After certain medical procedures such as lung biopsy or a central venous line insertion, some people can have complications that include a pneumothorax.

Can anesthesia cause collapsed lung?

Pulmonary gas exchange is regularly impaired during general anaesthesia with mechanical ventilation. This results in decreased oxygenation of blood. A major cause is collapse of lung tissue (atelectasis), which can be demonstrated by computed tomography but not by conventional chest x-ray.

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What can cause a spontaneous pneumothorax?

A pneumothorax can be caused by:

  • Chest injury. Any blunt or penetrating injury to your chest can cause lung collapse. …
  • Lung disease. Damaged lung tissue is more likely to collapse. …
  • Ruptured air blisters. Small air blisters (blebs) can develop on the top of the lungs. …
  • Mechanical ventilation.

Why would removing air from the thoracic cavity help the lung to inflate?

How is a pneumothorax treated? Depending on the cause and the size of the leak, the lung can often heal itself, but in order to do so, the extra air in the pleura space needs to be removed to reduce the pressure so the lung can re-expand.

What causes collapsed lung in adults?

Causes of collapsed lung include trauma to the chest cavity (fractured rib, penetrating trauma from a bullet, knife, or other sharp object), cigarette smoking, drug abuse, and certain lung diseases. Sometimes, the lung may collapse without an apparent injury, called spontaneous pneumothorax.

What causes collapsed lung?

Collapsed lung can be caused by an injury to the lung. Injuries can include a gunshot or knife wound to the chest, rib fracture, or certain medical procedures. In some cases, a collapsed lung is caused by air blisters (blebs) that break open, sending air into the space around the lung.

Can removal of chest tube cause pneumothorax?

The dreaded complication following chest tube removal is the recurrence of a previously resolved pneumothorax. A recurrent pneumothorax can be associated with premature TT removal (i.e., before full lung re-expansion), an occult air leak, or air entering the pleural space during removal.

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How serious is a thoracotomy?

Immediate risks from the surgery include infection, bleeding, persistent air leakage from your lung and pain. Pain is the most commonly encountered complication of this procedure, and pain along the ribs and site of incision will most likely subside over days to weeks.

What are the risks to the patient with a chest tube in situ?

These include:

  • Pain during placement: Chest tube insertion is usually very painful. …
  • Infection: As with any invasive procedure, there’s a risk of infection. …
  • Bleeding: A very small amount of bleeding can occur if a blood vessel is damaged when the chest tube is inserted.