Clinical Challenges in Thoracic Surgery: Management of Bronchopleural Fistula after Pneumonectomy

Behind The Knife: The Surgery Podcast

Your post op day #4 right pneumonectomy patient is suddenly coughing up large volumes of serosanguinous sputum! What are you worried about and what do you need to do? Join your Swedish thoracic surgery team, Drs. Chloe Hanson, Peter White, and Brian Louie as we discuss the management of this dangerous and frustrating surgical complication.
Hosts:
Chloe E. Hanson, M.D., PGY3
Brian E. Louie, MD, Thoracic Attending
Peter T. White, MD, Thoracic Attending
Learning Objectives:

1. What is a bronchopleural fistula (BPF) and what different ways do they present?
2. Describe the acute management of an early BPF.
3. Describe the differences in operative considerations between an early and late BPF.
4. Describe different options for closure of a pneumonectomy space.

References:
- Sugarbaker's Adult Chest Surgery, 3e Sugarbaker DJ, Bueno R, Burt BM, Groth SS, Loor G, Wolf AS, Williams M, Adams A. Sugarbaker D.J., & Bueno R, & Burt B.M., & Groth S.S., & Loor G, & Wolf A.S., & Williams M, & Adams A(Eds.),Eds. David J. Sugarbaker, et al. https://shc.amegroups.org/article/view/3787/html
- Dal Agnol G, Vieira A, Oliveira R, Ugalde Figueroa PA. Surgical approaches for bronchopleural fistula. Shanghai Chest 2017;1:14.
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