What are the common symptoms of pneumothorax. How is a collapsed lung diagnosed. What treatment options are available for pneumothorax. Who is at risk for developing a collapsed lung. How long does recovery from pneumothorax typically take. What steps can be taken to prevent recurrence of a collapsed lung.

Understanding Pneumothorax: What Is a Collapsed Lung?

Pneumothorax, commonly known as a collapsed lung, occurs when air accumulates in the space between the lung and the chest wall, called the pleural space. This buildup of air exerts pressure on the lung, causing it to collapse partially or fully. As a result, the affected lung cannot fully expand during inhalation, leading to breathing difficulties and chest pain.

There are several types of pneumothorax:

• Primary spontaneous pneumothorax: Occurs in people with no apparent lung disease
• Secondary spontaneous pneumothorax: Develops as a complication of underlying lung conditions
• Traumatic pneumothorax: Results from chest injuries
• Tension pneumothorax: A life-threatening condition where air continues to accumulate, severely compressing the lung and heart

Recognizing the Signs and Symptoms of a Collapsed Lung

The symptoms of pneumothorax can vary depending on the severity of the lung collapse. Common signs include:

• Sudden, sharp chest pain that worsens with breathing or coughing
• Shortness of breath or difficulty breathing
• Rapid heart rate
• Bluish skin color due to lack of oxygen (cyanosis)
• Fatigue
• Dry, hacking cough

In some cases, especially with small pneumothoraces, symptoms may be mild or even absent. However, it’s crucial to seek medical attention if you experience any sudden chest pain or breathing difficulties, as these could indicate a potentially serious condition.

Causes and Risk Factors for Pneumothorax

Understanding the causes and risk factors of pneumothorax is essential for prevention and early intervention. Some common causes include:

• Chest injuries: Blunt or penetrating trauma to the chest
• Medical procedures: Certain medical interventions, such as lung biopsies or central line placement
• Underlying lung diseases: Conditions like COPD, cystic fibrosis, or lung cancer
• Smoking: Increases the risk of both primary and secondary pneumothorax
• Genetic factors: Some inherited disorders can weaken lung tissue

Risk factors that may predispose individuals to pneumothorax include:

• Age and gender: Young, tall, thin men are at higher risk for primary spontaneous pneumothorax
• Previous pneumothorax: Having had one increases the likelihood of recurrence
• Mechanical ventilation: Patients on ventilators are at increased risk
• Air travel or scuba diving: Rapid changes in air pressure can trigger a pneumothorax

Diagnosing Pneumothorax: From Physical Examination to Imaging Studies

Accurate diagnosis of pneumothorax is crucial for appropriate treatment. The diagnostic process typically involves:

Physical Examination

A healthcare provider will listen to your chest with a stethoscope. Decreased or absent breath sounds on the affected side may indicate a collapsed lung.

Chest X-ray

This is the primary imaging tool for diagnosing pneumothorax. It can reveal the presence and extent of the lung collapse.

CT Scan

In some cases, a CT scan may be necessary to provide more detailed images, especially for small pneumothoraces that might not be visible on a standard X-ray.

Ultrasound

Bedside ultrasound is increasingly used, particularly in emergency settings, to quickly diagnose pneumothorax.

Treatment Approaches for Pneumothorax: From Observation to Surgery

The treatment of pneumothorax depends on its size, cause, and the patient’s overall health. Treatment options include:

Observation

For small, asymptomatic pneumothoraces, watchful waiting with supplemental oxygen may be sufficient. The body can often reabsorb the air over time.

Needle Aspiration

A needle is inserted into the chest cavity to remove excess air. This is typically used for smaller pneumothoraces.

Chest Tube Insertion

For larger collapses, a chest tube is inserted to continuously drain air and allow the lung to re-expand. This may require a hospital stay of several days.

Pleurodesis

This procedure involves introducing an irritant into the pleural space to create inflammation, causing the lung to adhere to the chest wall and prevent future collapses.

Surgery

In cases of recurrent pneumothorax or when other treatments fail, surgery may be necessary. Options include:

• Video-assisted thoracoscopic surgery (VATS)
• Thoracotomy
• Bullectomy (removal of damaged lung tissue)

Recovery and Rehabilitation After Pneumothorax

The recovery process following pneumothorax treatment varies depending on the severity of the collapse and the chosen intervention. Key aspects of recovery include:

Rest and Gradual Return to Activities

Patients are advised to rest and avoid strenuous activities for a period determined by their healthcare provider. Gradual resumption of normal activities is typically recommended.

Follow-up Appointments

Regular check-ups and chest X-rays are essential to monitor lung re-expansion and healing.

Breathing Exercises

Respiratory therapy, including deep breathing exercises, may be prescribed to improve lung function and prevent complications.

Lifestyle Modifications

Patients are often advised to quit smoking, avoid air travel for a specified period, and refrain from scuba diving indefinitely.

Recovery time can range from a few days for small pneumothoraces to several weeks for more severe cases requiring surgical intervention.

Preventing Recurrence: Strategies for Long-term Lung Health

While not all cases of pneumothorax are preventable, certain measures can reduce the risk of occurrence or recurrence:

• Smoking cessation: Quitting smoking significantly reduces the risk of pneumothorax
• Protective measures: Wearing appropriate safety gear during high-risk activities or occupations
• Managing underlying conditions: Proper treatment of lung diseases can help prevent secondary pneumothorax
• Avoiding rapid pressure changes: Taking precautions during air travel or scuba diving
• Regular check-ups: Especially for those with a history of pneumothorax or underlying lung conditions

Complications and Long-term Outlook for Pneumothorax Patients

While many patients recover fully from pneumothorax, potential complications and long-term considerations include:

Recurrence

The risk of recurrence is significant, especially for those who have experienced a primary spontaneous pneumothorax. What is the likelihood of pneumothorax recurrence? Studies suggest that without preventive measures, the recurrence rate can be as high as 30-50% within the first few years after the initial episode.

Chronic Pain

Some patients may experience persistent chest pain or discomfort following pneumothorax treatment.

Reduced Lung Function

In some cases, particularly with recurrent pneumothoraces or extensive surgeries, there may be a slight reduction in overall lung function.

Psychological Impact

The experience of a collapsed lung can lead to anxiety about recurrence or respiratory issues, affecting quality of life.

Despite these potential complications, the overall prognosis for pneumothorax is generally good, especially with prompt treatment and appropriate follow-up care. Many patients return to their normal activities without significant long-term effects.

Emerging Research and Future Directions in Pneumothorax Management

The field of pneumothorax management continues to evolve, with ongoing research focused on improving diagnosis, treatment, and prevention strategies. Some areas of current interest include:

Genetic Studies

Researchers are investigating genetic factors that may predispose individuals to pneumothorax, potentially leading to more targeted prevention strategies.

Minimally Invasive Techniques

Advancements in minimally invasive surgical procedures aim to reduce recovery time and complications associated with pneumothorax treatment.

Bioengineered Lung Tissue

Developments in tissue engineering may eventually offer new options for repairing damaged lung tissue and preventing recurrence.

Improved Imaging Technologies

Enhanced imaging techniques could allow for earlier detection of small pneumothoraces and more accurate monitoring of lung re-expansion.

As research progresses, these and other advancements may significantly improve outcomes for patients with pneumothorax, offering more effective treatments and better quality of life.

In conclusion, pneumothorax is a complex condition that requires prompt recognition and appropriate management. While it can be a frightening experience, most patients recover well with proper treatment. Understanding the risk factors, symptoms, and available treatments can empower individuals to seek timely care and take steps to prevent recurrence. As medical knowledge and technologies continue to advance, the outlook for pneumothorax patients is likely to improve further, offering hope for even better outcomes in the future.

Collapsed Lung: Care Instructions | Kaiser Permanente

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Overview

A collapsed lung (pneumothorax) is a buildup of air in the space between the lung and the chest wall. The pressure of the air against the lung makes the lung collapse. Your lung cannot fully expand when you inhale. This causes shortness of breath and chest pain.

A collapsed lung is usually caused by an injury to the chest. It may also occur suddenly because of a lung illness, such as emphysema or lung fibrosis. A lung may collapse after lung surgery or another medical procedure. Sometimes it happens for no known reason.

Treatment can depend on the cause and severity of the collapsed lung. Treatment can also depend on whether the problem has returned. Some people stay in the hospital for treatment. In some cases, oxygen may be given (through a mask). It may heal with rest, but your doctor will need to check you. It can take several days for the lung to expand again. Your doctor may have drained the excess air from your chest with a needle or tube. Sometimes surgery is done to help keep the lung inflated.

The doctor will want to keep track of your progress. So you will need a follow-up exam to check your lungs. You may need further treatment if you are not getting better.

A collapsed lung may happen again. Watch for symptoms. If you have shortness of breath or chest pain, get medical treatment right away.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Get plenty of rest and sleep. You may feel weak and tired for a while, but your energy level will improve with time.
• Be safe with medicines. Read and follow all instructions on the label.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
• If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
• If you have a bandage over your chest tube, or the place where the chest tube was inserted, keep it clean and dry. Follow your doctor’s instructions on bandage care.
• If you go home with a tube in place, follow the doctor’s directions. Do not adjust the tube in any way. This could break the seal or cause other problems. Keep the tube dry.
• Avoid exercise until your doctor says it’s okay.
• Do not fly in an airplane or scuba dive until your doctor tells you it is okay.
• Do not smoke or allow others to smoke around you. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

• You have severe trouble breathing.
• You have severe chest pain.
• You passed out (lost consciousness).

Call your doctor now or seek immediate medical care if:

• You have new or worse trouble breathing.
• You have new pain or your pain gets worse.
• You cough up blood.
• Your chest tube comes out or is bent or blocked.
• You are bleeding through the bandage where the tube was put in.
• You have symptoms of infection where the tube was put in, such as:
  • Increased pain, swelling, warmth, or redness.
  • Red streaks leading from the area.
  • Pus draining from the area.
  • A fever.

Watch closely for changes in your health, and be sure to contact your doctor if:

• The skin around the place where the chest tube was put in is red or irritated.
• You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter Q132 in the search box to learn more about “Collapsed Lung: Care Instructions”.

Symptoms, Causes, Diagnosis and Treatment

Written by WebMD Editorial Contributors

Medically Reviewed by Paul Boyce, MD on August 19, 2022

• What Is Pneumothorax (Collapsed Lung)?
• Types of Pneumothorax
• Pneumothorax Symptoms
• Pneumothorax Causes and Risk Factors
• Pneumothorax Diagnosis
• Pneumothorax Treatment
• Pneumothorax Recovery
• Pneumothorax Outlook
• Pneumothorax Prevention
• More

Pneumothorax, also called a collapsed lung, is when air gets between one of your lungs and the wall of your chest. The pressure causes the lung to give way, at least partly.

When this happens, you can inhale, but your lung can’t expand as much as it should.

Sometimes, a section of your lung can collapse because of a blockage or a lack of pressure inside the lung, instead of pressure from outside the lung. That’s a condition called atelectasis.

There are several types of pneumothoraces.  You could have one or more at the same time:

• Simple, in which the tissues and organs between your lungs aren’t moved around
• Primary spontaneous, when it happens without any clear cause
• Secondary spontaneous or disease-related
• Tension, when air continues to enter the space between your lung and your chest wall, raising pressure in your chest
• Traumatic or injury-related

Symptoms can range from mild to dangerous. If your case is mild, you may not notice a problem. That’s why it’s important to tell your doctor what’s happening. Common symptoms include:

• Bluish skin
• Chest pain, ache, or tightness
• Coughing
• Fatigue
• Fast breathing
• Fast heartbeat
• Shortness of breath

You can get a pneumothorax several ways. Causes include:

• Lung disease. Tissue that’s damaged is more likely to tear, allowing air to leak out. This is especially true with chronic obstructive pulmonary disease (COPD).
• Injury. A broken rib, knife wound, or gunshot wound can puncture your lung. In severe cases, the escaping air can build up pressure on your lung and heart, which might cause life-threatening problems such as loss of blood pressure.
• Mechanical ventilation. This machine that helps you breathe creates uneven pressure in your chest. As a result, your lung might collapse.
• Air blisters. Sacs full of air, called blebs, may form on the outside of your lung and then burst, creating pressure. This happens most often with tall men who are younger than 40 and who smoke.
• Your period. It’s rare, but cysts could form inside your chest. Within about 3 days before or after the start your period, the cysts release blood between the lung and chest.

Often, someone who has a collapsed lung gets another within 1 or 2 years. Smoking can also make the condition more likely. And some types of pneumothoraces run in families.

Your doctor will probably start with a physical exam. They’ll listen to your breathing through a stethoscope and tap your chest to find out if it sounds hollow.

You might have tests including:

• X-rays, so your doctor can see the outline of your lung
• A CT scan, a series of X-rays that a computer turns into a detailed image of your lung
• Arterial blood gas or pulse oximetry, to measure how much oxygen is in your blood
• EKG, to check how well your heart is working

Your treatment will depend on the type of pneumothorax and how severe it is. You may have one or more of these:

Observation

Your doctor will probably want you to stay in the hospital so they can watch your progress. They treat a collapsed lung by getting rid of the pressure outside the lung so it can inflate again.

In minor cases without symptoms, the lung can expand again on its own. You may need to breathe oxygen from a container for a short time to help. Even if your case is mild, it’s important to have follow-up visits with your doctor so they can keep track of how you’re doing.

Needle aspiration or chest tube insertion

If your lung has collapsed further, your doctor may use a needle or a tube to release the extra air from your chest. The tube might be attached to a one-way valve. It could have to stay in place for hours or days.

Autologous blood patch

Your doctor can take blood from your arm and put it into your chest through a tube. This makes a patch on your lung that stops air leaks.

Surgery or pleurodesis

Cases involving lung disease, an accident, or repeated collapsed lungs may need surgery. Or you could have a procedure called pleurodesis. Your doctor uses a needle and tube to put medicine like doxycycline into your chest. It triggers inflammation, which helps your lung stick to the chest wall and stay inflated.

It usually takes 1 or 2 weeks to recover from a pneumothorax. But you have to wait for your doctor to say you’re OK. Until then:

• Go back to your routine a little bit at a time. Go for walks or do other low-impact activities.
• Monitor your symptoms. Watch for chest pains or other signs that you haven’t healed, such as a fever or coughing up blood.
• Lift only light objects. Don’t pick up anything heavier than a gallon of milk. Don’t vacuum or mow the grass.
• Be careful how you exercise. Don’t do anything that jars your body, such as running or biking. Don’t play contact sports.
• Remember air pressure. Don’t get on an airplane until your doctor gives the OK, usually about 3 weeks after your lung has been repaired. On land, don’t go more than 7,500 feet above sea level.

With treatment, many people don’t have long-term health effects from a pneumothorax. But it can happen again in up to 50% of cases.

If you’ve had a collapsed lung, you need to take extra care of yourself to keep it from happening again. Some tips:

• If you smoke, ask your doctor for help quitting.
• If you scuba dive, your doctor might tell you to stop.
• If you have a lung problem, keep up with your medical visits.

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Atypical lung resection and obliteration of the pleural cavity

Article checked by Euromed Clinic thoracic surgeon Nechiporuk Vasily Mikhailovich.

What is pneumothorax?

Pneumothorax is an accumulation of air in the pleural cavity, resulting in a complete or partial collapse (collapse) of the lung with a violation of its function. This leads to hypoxia and respiratory failure. Open pneumothorax occurs, as a rule, with injuries of the chest, closed pneumothorax occurs with various diseases, such as bullous lung disease, tuberculosis, and tumors.

The Euromed clinic treats spontaneous recurrent pneumothorax in bullous lung disease.

Why Euromed?

• Thoracic surgeons of the Euromed clinic have extensive experience in the treatment of chest diseases, they are proficient in modern methods of performing operations, which contributes to the high effectiveness of the intervention and comfortable quick rehabilitation.
• Euromed is a full cycle clinic. Before the operation, we will arrange for you, if necessary, consultations with a therapist, cardiologist and any other specialist, here you can quickly take tests in our laboratory and immediately get the result. The process is organized clearly and takes much less time than in other clinics.

Treatment of pneumothorax

Atypical lung resection with induction of chemical pleurodesis

The operation is performed more often in patients over 50 years of age and in those who are contraindicated for radical surgery.
Chemical pleurodesis is the introduction into the pleural cavity of a substance (most often it is chemically pure talc or antibiotics of the tetracycline group, bliomycin), which leads to the formation of pleural adhesions and obliteration (soldering) of the pleural cavity. Talc is sprayed through a special spray gun under local anesthesia. After pleurodesis, air or gases cannot accumulate in the pleural cavity.

Postoperative period

In the postoperative period after any atypical lung resection, a cough is possible, which is associated not with the operation itself, but with anesthesia. Some blood may come out during coughing – this is a common postoperative phenomenon and is not a complication. In case of heavy bleeding, you should immediately contact your doctor.

The drains are removed after 3-5 days, after their removal the patient can leave the hospital. A month later, it is necessary to perform a control computed tomography of the chest.
The proportion of relapses after surgery for spontaneous pneumothorax does not exceed 1%.

Operation cost: Atypical lung resection with induction of chemical pleurodesis (obliteration of the pleural cavity)* — from 88,000 rubles.

*The base cost of operation does not include : preoperative examination, anesthesia allowance, histological examination of the surgical material and hospital stay.

Nechiporuk
Vasily Mikhailovich

surgeon

Thoracic surgeon

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Patient reviews Euromed Clinic

Irina Arkhipchenko May 31, 2023

Please express my gratitude to Dr. Natalia Yurievna Melnikova, I have been seeing her for over 20 years and I can say with confidence that it is difficult to find a more qualified, experienced and friendly specialist. Natalya Yuryevna, in addition to her main specialty – gynecology, also has a deep understanding of related disciplines, which often simplifies the path to the right choice of treatment.

Clinic answer: Irina, good afternoon! Thanks for your feedback! Thank you for trusting your women’s health to the doctor of our clinic. We are very pleased that you appreciated the professional qualities of Natalya Yuryevna and her thorough and sensitive approach. We wish you good health! With care for you, Euromed In Vitro

Diana May 20, 2023

I have been a patient of the gynecologist Natalya Yuryevna Melnikova for more than 6 years. Previously, I came annually for checkups, and now I am conducting my first pregnancy with her. Natalya Yurievna is a doctor with extensive experience, who was able to help me in various situations, such as: restoring the cycle, normalizing hormonal levels, preparing for pregnancy. Unnecessarily, he never prescribes aggressive drugs and antibiotics, we always understand the origins of the problem. Thanks to the doctor’s observations, hypothyroidism was detected in a timely manner, due to which it was not possible to immediately conceive a child. Managed to compensate for thyroid hormones in just 2 months, and immediately get pregnant safely. All my friends also go to Natalya Yuryevna for years, many already have 2-3 pregnancies, which they entrusted to the doctor, and still remain grateful and devoted to the doctor. I know that even patients from abroad come to her. There are very few doctors like her, I recommend it 100%!

Clinic answer: Diana, good afternoon! Thank you for trusting your women’s health to the doctor of our clinic, Natalya Yuryevna Melnikova, and warm words of gratitude addressed to her. This is very valuable for us. You can always rely on our experience, professionalism and sensitive attitude towards patients. We wish you good health! With care for your health, Euromed In Vitro

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Pneumothorax – treatment, symptoms, diagnosis, consequences

Pneumothorax is a respiratory and circulatory disorder that occurs when the dome of the diaphragm descends and the lung tissue collapses while the blood vessels constrict. An excess of gas in the preural cavity leads to this, the more it accumulates, the more the curvature manifests itself. The result is a partial or complete collapse of the lung, in other words, all or part of it literally falls. Pneumothorax is a disease that has two main causes: trauma and another disease. Characteristic signs of pneumothorax are the inability of the patient to straighten up, shortness of breath and tachycardia.

1. How to treat
2. What diagnostics to undergo
3. Consequences

How to treat pneumothorax

In case of pneumothorax, the patient needs emergency medical care. The first steps to improve the patient’s condition are made depending on the manifestation of the disease. It is of two types: open and closed. The first case requires closing the hole through which excess air penetrates, dressings are applied and fixed. In the second, closed, version, the gas must be removed immediately through a special tube.

Painkillers are an indispensable component when straightening the lung. Substances necessary for pleurodesis are also used to avoid recurrence and maintain the patient’s condition.

What kind of diagnostics to undergo in case of pneumothorax

It is necessary to consult a surgeon or a pulmonologist. An experienced specialist will immediately take into account the main symptoms indicating pneumothorax. The final diagnosis is made with the help of x-rays. Prevral puncture, the result of which is air, a clear, but not sufficient, proof of the disease.

Consequences of pneumothorax

Pneumothorax, in itself sometimes a complication, if left untreated, causes acute pulmonary insufficiency, rigid lung, etc. In some cases, emphysema manifests itself.

Similar symptoms:

• Acute respiratory distress syndrome
• Bronchial adenoma
• Bronchiectasis
• Emphysema
• Eosinophilic pneumonia
• Serous pleurisy

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