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Forschungsdatenbank PMU-SQQUID

Successful non-surgical management of pleuroparenchymal fistula following cervical intraspinal empyema.
Ull, C; Aach, M; Reichert, J; Schildhauer, TA; Swol, J;
Monaldi Arch Chest Dis. 2018; 88(1): 889
Fallberichte

PMU-Autor/inn/en

Swol Justyna

Abstract

Pulmonary infections are life-threatening complications in patients with spinal cord injuries. In particular, paraplegic patients are at risk if they are ventilator-dependent. This case history refers to a spinal cord injury with a complete sensorimotor tetraplegia below C2 caused by a septic scattering of an intraspinal empyema at C2-C5 and T3-T4. A right-sided purulent pneumonia led to a complex lung infection with the formation of a pleuroparenchymal fistula. The manuscript describes successful, considerate, non-surgical management with shortterm separate lung ventilation. Treatment aimed to achieve the best possible result without additional harm. A variety of surgical and conservative strategies for the treatment of pleuroparenchymal fistula (PPF) have been described with different degrees of success. We detail the non-surgical management of a persistent PPF with temporary separate lung ventilation (SLV) via a double-lumen tube (DLT) in combination with talc pleurodesis as an approach in patients who are unable to undergo surgical treatment.


Find related publications in this database (Keywords)

Spinal abscesses
paraplegia
pleuroparenchymal fistula
talc pleurodesis
double-lumen tube ventilation