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Ann Thorac Surg 1995;59:827-828
© 1995 The Society of Thoracic Surgeons

Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 825.

DR LEWIS WETSTEIN (Freehold, NJ): Doctor Hill, I enjoyed your presentation, but I am not sure about the clinical applicability of your methodology. First of all, we are dealing with a different pathophysiology. Air in the chest from an atmospheric source is a self-limiting process and will resolve spontaneously rather expeditiously, ie, in a couple of days.

We, however, most frequently deal with air in the chest from a lung source, be it laceration or rupture of belbs or bullae. That is a continuous process, with persistent leakage of air and increasing positive pressure; if not managed with external drainage, ie, tube thoracostomy, it will result in a tension pneumothorax and is potentially fatal.

I probably agree with you that oxygen therapy would accelerate air resorption for scenario 1, which really is a nonclinical problem and possibly requires no treatment. But would you use oxygen therapy for scenario 2?

DR HILL: The reason that we did this experiment was because the literature had anecdotal remarks stating that oxygen may or may not be beneficial in the treatment of some . . . [Full Text of this Article]


Related Article

Resolution of Experimental Pneumothorax in Rabbits by Oxygen Therapy
Ronald C. Hill, Donald P. DeCarlo, Jr, Jeffrey F. Hill, Kathryn C. Beamer, Mandy L. Hill, and Gregory A. Timberlake
Ann. Thorac. Surg. 1995 59: 825-827. [Abstract] [Full Text]





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