Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature Review
Tuberculosis (TB) is still a significant medical and social problem in developing nations like Indonesia, with high morbidity and mortality rates. Tuberculosis infection are mostly found in the lungs, but they can affect other organs as well. Secondary spontaneous pneumothorax (SSP) is one of the mo...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2022-12-01
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| Series: | Journal of Cardio-Thoracic Medicine |
| Subjects: | |
| Online Access: | https://jctm.mums.ac.ir/article_20978_6621f565da907f674eaa84dfe251e171.pdf |
| _version_ | 1828069847319183360 |
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| author | Haryati Haryati Bagus Wicaksono Desi Rahmawaty |
| author_facet | Haryati Haryati Bagus Wicaksono Desi Rahmawaty |
| author_sort | Haryati Haryati |
| collection | DOAJ |
| description | Tuberculosis (TB) is still a significant medical and social problem in developing nations like Indonesia, with high morbidity and mortality rates. Tuberculosis infection are mostly found in the lungs, but they can affect other organs as well. Secondary spontaneous pneumothorax (SSP) is one of the most serious complications of tuberculosis, requiring the insertion of a chest tube in the majority of cases. The Heimlich valve can be used in complicated and persistent pneumothorax. The Heimlich valve may be outdated, but it is a very efficient one-way valve that provides safe air evacuation from the thoracic cavity. A 53-year-old man was hospitalized after complaining of left-sided chest discomfort and shortness of breath. The patient confirmed receiving tuberculosis treatment four years ago. During a physical examination, hyperresonance to percussion and decreased vesicular breath sounds was found on left side, wheezing on the right, and SaO2 of 92% in room air. An x-ray of the chest revealed a left side pneumothorax and fibrosis at the right lung's apex. Emergency drainage was done and an X-ray evaluation of the collapsed lung aeration was observed. However, even though drainage has been done for 19 days, an examination revealed persistent pneumothorax, requiring extended drainage. Due to a lack of resources and to prevent prolonged hospitalization, we began using a Heimlich valve to treat pneumothorax. The chest tube and Heimlich valve were detached successfully after two months. In conclusion, the Heimlich valve provides a practical and affordable treatment for ambulatory care of persistent pneumothorax. |
| first_indexed | 2024-04-11T00:25:40Z |
| format | Article |
| id | doaj.art-ede1c8fd82844ffaaa6e1a358374f34b |
| institution | Directory Open Access Journal |
| issn | 2345-2447 2322-5750 |
| language | English |
| last_indexed | 2024-04-11T00:25:40Z |
| publishDate | 2022-12-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Cardio-Thoracic Medicine |
| spelling | doaj.art-ede1c8fd82844ffaaa6e1a358374f34b2023-01-08T08:25:02ZengMashhad University of Medical SciencesJournal of Cardio-Thoracic Medicine2345-24472322-57502022-12-011041094109810.22038/jctm.2022.66818.139220978Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature ReviewHaryati Haryati0Bagus Wicaksono1Desi Rahmawaty2Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Lambung Mangkurat University/Ulin General Hospital, Banjarmasin, South Kalimantan, Indonesia.Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Lambung Mangkurat University/Ulin General Hospital, Banjarmasin, South Kalimantan, Indonesia.Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, South Kalimantan, Indonesia.Tuberculosis (TB) is still a significant medical and social problem in developing nations like Indonesia, with high morbidity and mortality rates. Tuberculosis infection are mostly found in the lungs, but they can affect other organs as well. Secondary spontaneous pneumothorax (SSP) is one of the most serious complications of tuberculosis, requiring the insertion of a chest tube in the majority of cases. The Heimlich valve can be used in complicated and persistent pneumothorax. The Heimlich valve may be outdated, but it is a very efficient one-way valve that provides safe air evacuation from the thoracic cavity. A 53-year-old man was hospitalized after complaining of left-sided chest discomfort and shortness of breath. The patient confirmed receiving tuberculosis treatment four years ago. During a physical examination, hyperresonance to percussion and decreased vesicular breath sounds was found on left side, wheezing on the right, and SaO2 of 92% in room air. An x-ray of the chest revealed a left side pneumothorax and fibrosis at the right lung's apex. Emergency drainage was done and an X-ray evaluation of the collapsed lung aeration was observed. However, even though drainage has been done for 19 days, an examination revealed persistent pneumothorax, requiring extended drainage. Due to a lack of resources and to prevent prolonged hospitalization, we began using a Heimlich valve to treat pneumothorax. The chest tube and Heimlich valve were detached successfully after two months. In conclusion, the Heimlich valve provides a practical and affordable treatment for ambulatory care of persistent pneumothorax.https://jctm.mums.ac.ir/article_20978_6621f565da907f674eaa84dfe251e171.pdfheimlich valvepersistent pneumothoraxpulmonary tuberculosis |
| spellingShingle | Haryati Haryati Bagus Wicaksono Desi Rahmawaty Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature Review Journal of Cardio-Thoracic Medicine heimlich valve persistent pneumothorax pulmonary tuberculosis |
| title | Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature Review |
| title_full | Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature Review |
| title_fullStr | Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature Review |
| title_full_unstemmed | Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature Review |
| title_short | Heimlich Valve as Ambulatory Treatment for Persistent Pneumothorax in a Patient with Pulmonary Tuberculosis: A Case Report and Literature Review |
| title_sort | heimlich valve as ambulatory treatment for persistent pneumothorax in a patient with pulmonary tuberculosis a case report and literature review |
| topic | heimlich valve persistent pneumothorax pulmonary tuberculosis |
| url | https://jctm.mums.ac.ir/article_20978_6621f565da907f674eaa84dfe251e171.pdf |
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