The Core IM Thigh Pearls Podcast episode delves into the diagnosis and management of pneumothorax, featuring insights from interventional pulmonologists. The hosts and guests discuss imaging modalities, emphasizing the importance of patient positioning for chest X-rays and the nuances of ultrasound in detecting pneumothorax. They explore the critical decision-making process of when to intervene with a chest tube versus conservative management, highlighting that symptoms often outweigh size considerations. A significant portion of the discussion is dedicated to understanding the pleural drainage system, including the collection chamber, water seal (for detecting air leaks), and suction control chamber, detailing how each component functions to protect the patient and promote lung re-expansion. The podcast further addresses the management of persistent air leaks, covering options such as blood patches, endobronchial valves, and pleurodesis, and includes a word from the sponsor, Oakstone CME's ACP MixApp Audio Companion.
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