Benefits of a multidisciplinary team approach on a challenging case of bilateral tension pneumothorax

Journal of thoracic disease · 2018 · vol. 10(Suppl 26) , pp. S3246–S3247 · doi:10.21037/jtd.2018.08.45 · PMID:30370127 · PMC6186625
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This editorial highlights the benefits of a multidisciplinary team approach in managing a challenging case of bilateral tension pneumothorax, emphasizing coordinated decision-making to optimize patient safety and treatment outcomes.

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This editorial comment analyzes a case report involving a 63-year-old male with bilateral tension pneumothorax and chronic obstructive pulmonary disease who experienced persistent air leaks despite initial conservative management. The authors highlight how a multidisciplinary team approach, integrating perspectives from thoracic surgery, respiratory medicine, and intensive care, facilitated a successful two-stage video-assisted thoracoscopic surgery to resolve the condition. While acknowledging the benefits of such collaborative decision-making for complex cases, the commentary notes that the multidisciplinary consultation was initiated too late in this specific patient's course to prevent complications like hospital-acquired pneumonia. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Acknowledgements

None. Footnote Conflicts of Interest: The authors have no conflicts of interest to declare.

References

- Li X, Su X, Chen B, et al. Multidisciplinary team approach on a case of bilateral tension pneumothorax. J Thorac Dis 2018;10:2528-36. [Crossref] [PubMed] - MacDuff A, Arnold A, Harvey J, et al. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010;65:ii18-31. [Crossref] [PubMed] - Chee CB, Abisheganaden J, Yeo JK, et al. Persistent air-leak in spontaneous pneumothorax--clinical course and outcome. Respir Med 1998;92:757-61. [Crossref] [PubMed] - Lee SC, Cheng YL, Huang CW, et al. Simultaneous bilateral primary spontaneous pneumothorax. Respirology 2008;13:145-8. [PubMed] - Sayar A, Turna A, Metin M, et al. Simultaneous bilateral spontaneous pneumothorax report of 12 cases and review of the literature. Acta Chir Belg 2004;104:572-6. [Crossref] [PubMed] - Akcam TI, Kavurmaci O, Ergonul AG, et al. Analysis of the patients with simultaneous bilateral spontaneous pneumothorax. Clin Respir J 2018;12:1207-11. [Crossref] [PubMed]

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