RT Book, Section
A1 Camp, Phillip C.
A1 Mentzer, Steven J.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105845824
T1 Management of Acute Bronchopleural Fistula
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105845824
RD 2024/04/25
AB There  are  two  types  of  communications  that  can  develop  between  the  lung  parenchyma  and  the  pleural  space.  Communications  that  develop  in  the  peripheral  lung,  typically  beyond  the  cartilaginous  airways,  are  commonly  referred  to  as  peripheral  air  leaks.  Peripheral  communications  generally  demonstrate  respiratory  (phasic)  variation  in  the  magnitude  of  the  air  leak  and  will  heal  with  time.  In  contrast,  a  communication  with  the  cartilaginous  airways  is  referred  to  as  a  bronchopleural  fistula  (BPF).  BPFs  are  associated  with  a  relatively  larger  communication.  Negative-pressure  external  drainage  usually  demonstrates  a  continuous  (nonphasic)  air  leak.  Acute  BPF,  or  communications  with  proximal  airways,  frequently  require  therapeutic  intervention.