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

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: What is a bronchopleural fistula (BPF) and what different ways do they present? Describe the acute management of an early BPF. Describe the differences in operative considerations between an early and late BPF. 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. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen