Weinberger SE, et al. Pleural disease. In: Principles of Pulmonary Medicine. Tintinalli JE, et al. McGraw-Hill; Mayo Clinic; Paskaradevan J, et al. What is spontaneous pneumothorax? Merck Manual Professional Version. Ding M, et al. Endobronchial one-way valves for treatment of persistent air leaks: A systematic review. Respiratory Research.
Brown AY. Allscripts EPSi. Mayo Clinic. Jones KD. Pulmonary cystic disease and its mimics. Surgical Pathology Clinics. Hallifax R, et al. Seminars in Respiratory and Critical Care Medicine. 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. Take pain medicines exactly as directed. If the doctor gave you a prescription medicine for pain, take it as prescribed. If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine. If your doctor prescribed antibiotics, take them as directed.
Do not stop taking them just because you feel better. You need to take the full course of antibiotics. If you have a bandage over your chest tube, or the place where the chest tube was inserted, keep it clean and dry.
Follow your doctor's instructions on bandage care. If you go home with a tube in place, follow the doctor's directions. Do not adjust the tube in any way. This could break the seal or cause other problems. Keep the tube dry. Avoid any movements that require your muscles, especially your chest muscles, to strain. Such movements include laughing hard, bearing down to have a bowel movement, and heavy lifting.
Try not to cough. Do not fly in an airplane until your doctor tells you it is okay. Avoid any situations where there is increased air pressure. Do not smoke or allow others to smoke around you.
If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. For example, call if: You have severe trouble breathing. If you have a collapsed lung, there are decreased breath sounds or no breath sounds on the affected side. You may also have low blood pressure. 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. If you have a large pneumothorax, a chest tube will be placed between the ribs into the space around the lungs to help drain the air and allow the lung to re-expand. The chest tube may be left in place for several days and you may need to stay in the hospital.
If a small chest tube or flutter valve is used, you may be able to go home. You will need to return to the hospital to have the tube or valve removed. Lung surgery may be needed to treat collapsed lung or to prevent future episodes. The area where the leak occurred may be repaired. Sometimes, a special chemical is placed into the area of the collapsed lung. This chemical causes a scar to form.
This procedure is called pleurodesis. Call your provider if you have symptoms of a collapsed lung, especially if you have had one before. There is no known way to prevent a collapsed lung. Following standard procedure can reduce the risk of a pneumothorax when scuba diving.
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