In most cases of spontaneous pneumothorax, the cause is unknown. Tall and thin adolescent males are typically at greatest risk, but females can also have this condition. Other risk factors include connective tissue disorders, smoking, and activities such as scuba diving, high altitudes and flying.
Sometimes the air leak may happen suddenly, for no apparent reason in an otherwise healthy child. This is called primary spontaneous pneumothorax and it happens most often in older teenagers, especially tall, thin boys. In a primary spontaneous pneumothorax, a small tear forms on the outer part of the lung.
A collapsed lung in children usually occurs due to trauma such as a broken rib, but it can be the result of blisters, or “blebs,” of abnormal lung tissue that begin to leak. This “spontaneous” pneumothorax most often occurs in tall, teenaged boys.
A collapsed lung is rare, but it can be serious. If you have signs or symptoms of a collapsed lung, such as chest pain or trouble breathing, get medical care right away. Your lung may be able to heal on its own, or you may need treatment to save your life.
The average amount of time to stay in the hospital with a pneumothorax is 5 to 7 days.
Surgery is usually suggested for anyone who has had two or more episodes of pneumothorax (partially collapsed lung) on any one side. It is also recommended to anyone who has had a tension pneumothorax. This is a full collapse of your lung which can then cause your heart to move across your chest with the pressure.
Pneumothorax patients may be included in a high-risk group of severe stress, particularly elderly patients, who can be more fragile and therefore more at risk from a pneumothorax or its related treatment. Pneumothorax is an irritating disease with a high recurrence rate that may require frequent ED visits.
A collapsed lung (pneumothorax) is a buildup of air in the space between your child’s lung and the chest wall. As more air builds up in this space, the pressure against the lung makes the lung collapse. This causes shortness of breath and chest pain because your child’s lung cannot fully expand.
After treatment, a collapsed lung usually begins working the way it should again. But atelectasis can cause permanent damage in some cases.
Any condition that makes it hard to take deep breaths or cough can lead to a collapse in the lung. People may call atelectasis or other conditions a “collapsed lung.” Another condition that commonly causes a collapsed lung is pneumothorax.
In most cases, one healthy lung should be able to deliver enough oxygen and remove enough carbon dioxide for your body to stay healthy. Doctors call the surgery to remove a lung a pneumonectomy. Once you’ve recovered from the operation, you can live a pretty normal life with one lung.
If an EMS provider suspects a tension pneumothorax, they should perform immediate needle decompression in the second intercostal space to restore cardiac output. The definitive treatment for pneumothorax is chest tube placement in the emergency department.
Tension pneumothorax is life-threatening and may be fatal. Some scarring to the pleura develops after treatment and can result in intermittent, sharp, localized, chest pain over the short term. In general, once the pneumothorax has healed, there is no long-term effect on health.
The long-term impact of pneumothorax can vary. If only a small amount of air is trapped in the pleural space, there may be no further complications. If the volume of air is larger or it affects the heart, it can be life-threatening.
Get plenty of rest and sleep. You may feel weak and tired for a while, but your energy level will improve with time. Hold a pillow against your chest when you cough or take deep breaths. This will support your chest and decrease your pain.
It usually takes 1 or 2 weeks to recover from pneumothorax.
The prognosis for traumatic pneumothorax is excellent if there are no other life-threatening injuries; for spontaneous pneumothorax, the prognosis depends on the underlying cause and method of treatment. The prognosis for iatrogenic pneumothorax is considered good.
The complications of pneumothorax include effusion, hemorrhage, empyema; respiratory failure, pneumomediastinum, arrhythmias and instable hemodynamics need to be handled accordingly. Treatment complications refer to major pain, subcutaneous emphysema, bleeding and infection, rare re-expansion pulmonary edema.
A small pneumothorax may go away on its own over time. You may only need oxygen treatment and rest. The provider may use a needle to allow the air to escape from around the lung so it can expand more fully. You may be allowed to go home if you live near the hospital.
Mild atelectasis or a small pneumothorax may heal, and the lung may re-inflate on its own. If not, there are a variety of techniques for clearing blockages, removing excess air and healing the lung.
Pneumonia. Various types of pneumonia, a lung infection, can cause atelectasis. Pneumothorax. Air leaks into the space between your lungs and chest wall, indirectly causing some or all of a lung to collapse.
Most patients who have had a pneumothorax will have more than one episode. These are called recurring pneumothoraces, and a few patients have had more than ten different episodes. Both lungs are equally likely to be affected, and doctors have reported cases where both lungs have collapsed at the same time.
Crackles are heard when collapsed or stiff alveoli snap open, as in pulmonary fibrosis. Wheezes are commonly associated with asthma and diminished breath sounds with neuromuscular disease. Breath sounds will be decreased or absent over the area of a pneumothorax.
A pneumothorax is generally diagnosed using a chest X-ray. In some cases, a computerized tomography (CT) scan may be needed to provide more-detailed images. Ultrasound imaging also may be used to identify a pneumothorax.
Strategies for the prevention of recurrent pneumothorax include observation, surgical and nonsurgical pleurodesis, and bleb resection. Other important points to keep in mind include the following: Prompt recognition and treatment of bronchopulmonary infections decreases the risk of progression to a pneumothorax.
how long can you live with a collapsed lung
life after pneumothorax
spontaneous pneumothorax tall skinny white males
what would cause a collapsed lung in a child?
how to inflate a collapsed lung
how to get rid of trapped air in lungs
primary spontaneous pneumothorax
spontaneous pneumothorax signs and symptoms