Journal of Critical Care
Volume 25, Issue 1 , Pages 47-55, March 2010

Bronchopleural fistula: An update for intensivists

  • Kiran Shekar, MBBS

      Affiliations

    • Critical Care Research Group, The Prince Charles Hospital, Chermside 4032, Queensland, Australia
    • Corresponding Author InformationCorresponding author. Mcdowall 4053, Queensland, Australia. Tel.: +61 733536978, +61 411294763.
  • ,
  • Carole Foot, MBBS, FACEM, FJFICM

      Affiliations

    • Royal North shore Hospital, Sydney, Australia
  • ,
  • John Fraser, MBChB, MRCP, FRCA, FFARCSI, FJFICM

      Affiliations

    • Critical Care Research Group, The Prince Charles Hospital, Chermside 4032, Queensland, Australia
  • ,
  • Marc Ziegenfuss, MB BCH, FJFICM

      Affiliations

    • The Prince Charles Hospital, Chermside 4032, Queensland, Australia
  • ,
  • Peter Hopkins, MBBS, FRACP

      Affiliations

    • The Prince Charles Hospital, Chermside 4032, Queensland, Australia
  • ,
  • Morgan Windsor, MBBS, FRACS

      Affiliations

    • The Prince Charles Hospital, Chermside 4032, Queensland, Australia

published online 10 July 2009.

Abstract 

Bronchopleural fistula is a potentially fatal condition that may result after a variety of clinical conditions, most commonly after pulmonary resection. Either surgical or bronchoscopic repair is required to definitively correct these lesions, though a small number may resolve spontaneously with optimal ventilatory care and other options available to an intensivist in the management of this complex condition. The successful management of a bronchopleural fistula depends on formulating a treatment strategy tailored to individual patient needs.

Keywords: Bronchopleural fistula, Pleural drainage, Independent lung ventilation, High-frequency ventilation, Bronchoscopy

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PII: S0883-9441(09)00118-X

doi:10.1016/j.jcrc.2009.05.007

Journal of Critical Care
Volume 25, Issue 1 , Pages 47-55, March 2010