Treatment of AIDS-related spontaneous pneumothorax: A decade of experience

M. A. Wait, A. R. Dal Nogare

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Spontaneous pneumothorax (SP) secondary to the acquired immunodeficiency syndrome (AIDS) emerged in the decade of the 1980s. It has become an increasingly difficult condition to treat successfully both for the pulmonary internist and the surgeon. AIDS-related SP is complicated by a virulent form of necrotizing subpleural necrosis that results in diffuse air leaks that are refractory to the standard, traditional forms of therapy which enjoy good success for SP related to classic subpleural bleb disease. AIDS-related SP carries a high mortality rate despite treatment, independent of the development of primary respiratory failure. In reviewing our experience of 46 patients from a single institution treated over the past 10 years, we found that due to the high primary and secondary treatment failure rates, an aggressive stepped-care management of large-bore intercostal tube drainage, chemical pleurodesis, and early video-assisted tale poudrage is recommended in an attempt to shorten the duration of hospital stay, hospital costs, and mortality.

Original languageEnglish (US)
Pages (from-to)693-696
Number of pages4
JournalChest
Volume106
Issue number3
StatePublished - 1994

Fingerprint

Pneumothorax
Acquired Immunodeficiency Syndrome
Pleurodesis
Hospital Costs
Therapeutics
Blister
Hospital Mortality
Treatment Failure
Respiratory Insufficiency
Drainage
Length of Stay
Necrosis
Air
Lung
Mortality

Keywords

  • AIDS
  • spontaneous pneumothorax
  • tale
  • videothoracoscopy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Treatment of AIDS-related spontaneous pneumothorax : A decade of experience. / Wait, M. A.; Dal Nogare, A. R.

In: Chest, Vol. 106, No. 3, 1994, p. 693-696.

Research output: Contribution to journalArticle

Wait, MA & Dal Nogare, AR 1994, 'Treatment of AIDS-related spontaneous pneumothorax: A decade of experience', Chest, vol. 106, no. 3, pp. 693-696.
Wait, M. A. ; Dal Nogare, A. R. / Treatment of AIDS-related spontaneous pneumothorax : A decade of experience. In: Chest. 1994 ; Vol. 106, No. 3. pp. 693-696.
@article{70647cdc239f468293a4927ac09b9893,
title = "Treatment of AIDS-related spontaneous pneumothorax: A decade of experience",
abstract = "Spontaneous pneumothorax (SP) secondary to the acquired immunodeficiency syndrome (AIDS) emerged in the decade of the 1980s. It has become an increasingly difficult condition to treat successfully both for the pulmonary internist and the surgeon. AIDS-related SP is complicated by a virulent form of necrotizing subpleural necrosis that results in diffuse air leaks that are refractory to the standard, traditional forms of therapy which enjoy good success for SP related to classic subpleural bleb disease. AIDS-related SP carries a high mortality rate despite treatment, independent of the development of primary respiratory failure. In reviewing our experience of 46 patients from a single institution treated over the past 10 years, we found that due to the high primary and secondary treatment failure rates, an aggressive stepped-care management of large-bore intercostal tube drainage, chemical pleurodesis, and early video-assisted tale poudrage is recommended in an attempt to shorten the duration of hospital stay, hospital costs, and mortality.",
keywords = "AIDS, spontaneous pneumothorax, tale, videothoracoscopy",
author = "Wait, {M. A.} and {Dal Nogare}, {A. R.}",
year = "1994",
language = "English (US)",
volume = "106",
pages = "693--696",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "3",

}

TY - JOUR

T1 - Treatment of AIDS-related spontaneous pneumothorax

T2 - A decade of experience

AU - Wait, M. A.

AU - Dal Nogare, A. R.

PY - 1994

Y1 - 1994

N2 - Spontaneous pneumothorax (SP) secondary to the acquired immunodeficiency syndrome (AIDS) emerged in the decade of the 1980s. It has become an increasingly difficult condition to treat successfully both for the pulmonary internist and the surgeon. AIDS-related SP is complicated by a virulent form of necrotizing subpleural necrosis that results in diffuse air leaks that are refractory to the standard, traditional forms of therapy which enjoy good success for SP related to classic subpleural bleb disease. AIDS-related SP carries a high mortality rate despite treatment, independent of the development of primary respiratory failure. In reviewing our experience of 46 patients from a single institution treated over the past 10 years, we found that due to the high primary and secondary treatment failure rates, an aggressive stepped-care management of large-bore intercostal tube drainage, chemical pleurodesis, and early video-assisted tale poudrage is recommended in an attempt to shorten the duration of hospital stay, hospital costs, and mortality.

AB - Spontaneous pneumothorax (SP) secondary to the acquired immunodeficiency syndrome (AIDS) emerged in the decade of the 1980s. It has become an increasingly difficult condition to treat successfully both for the pulmonary internist and the surgeon. AIDS-related SP is complicated by a virulent form of necrotizing subpleural necrosis that results in diffuse air leaks that are refractory to the standard, traditional forms of therapy which enjoy good success for SP related to classic subpleural bleb disease. AIDS-related SP carries a high mortality rate despite treatment, independent of the development of primary respiratory failure. In reviewing our experience of 46 patients from a single institution treated over the past 10 years, we found that due to the high primary and secondary treatment failure rates, an aggressive stepped-care management of large-bore intercostal tube drainage, chemical pleurodesis, and early video-assisted tale poudrage is recommended in an attempt to shorten the duration of hospital stay, hospital costs, and mortality.

KW - AIDS

KW - spontaneous pneumothorax

KW - tale

KW - videothoracoscopy

UR - http://www.scopus.com/inward/record.url?scp=0027991344&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027991344&partnerID=8YFLogxK

M3 - Article

C2 - 8082341

AN - SCOPUS:0027991344

VL - 106

SP - 693

EP - 696

JO - Chest

JF - Chest

SN - 0012-3692

IS - 3

ER -