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persistent air leak

trauma-list@trauma.org trauma-list@trauma.org
Sun, 19 Jan 2003 13:57:07 EST 

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In a message dated 1/19/2003 12:18:34 PM Central Standard Time, 
mmcbridemd@yahoo.com writes:

> Currently she is about 2 weeks out, with two 35 french chest tubes in place, 
> full lung expansion on water seal, with a gentle bubbling leak noted on any 
> valsalva that has been essentially unchanged since post op. My next move is 
> placement of a thoracic vent, in lieu of a better idea.

What happens when you take her off suction?   Does the lung stay up.   It 
could be that the air leak is your sucking air out of the lung from an injury 
to the lung parenchyma.   If there is pleural symphasis, and when you go to 
underwater seal, without suction, the lung stays up.  then you are on your 
way to healing.   

k

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<HTML><FONT FACE=arial,helvetica><FONT  SIZE=2 FAMILY="SANSSERIF" FACE="Arial" LANG="0">In a message dated 1/19/2003 12:18:34 PM Central Standard Time, mmcbridemd@yahoo.com writes:<BR>
<BR>
<BLOCKQUOTE TYPE=CITE style="BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px">Currently she is about 2 weeks out, with two 35 french chest tubes in place, full lung expansion on water seal, with a gentle bubbling leak noted on any valsalva that has been essentially unchanged since post op. My next move is placement of a thoracic vent, in lieu of a better idea.</BLOCKQUOTE><BR>
<BR>
What happens when you take her off suction?&nbsp;&nbsp; Does the lung stay up.&nbsp;&nbsp; It could be that the air leak is your sucking air out of the lung from an injury to the lung parenchyma.&nbsp;&nbsp; If there is pleural symphasis, and when you go to underwater seal, without suction, the lung stays up.&nbsp; then you are on your way to healing.&nbsp;&nbsp; <BR>
<BR>
k</FONT></HTML>

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