Pulmonary Bullae: Difference between revisions
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== Pathology == | == Pathology == | ||
The development of lung bullae is heterogenis. Most commonly they are COPD-related emphysematous bullae, | The development of lung bullae is heterogenis. | ||
# Most commonly they are COPD-related emphysematous bullae, | |||
# Pulmonary bulla may adjoin primary [[Lung Cancer|lung cancer]] and usually the prognosis is poor, no mater the size.<ref>Kaneda M, Tarukawa T, Watanabe F, Adachi K, Sakai T, Nakabayashi H. [https://academic.oup.com/icvts/article/10/6/940/776078?login=false#102034279 Clinical features of primary lung cancer adjoining pulmonary bulla]. Interactive CardioVascular and Thoracic Surgery. 2010 Jun 1;10(6):940-4.Available: https://academic.oup.com/icvts/article/10/6/940/776078?login=false#102034279 (accessed 28.4.2023)</ref> | |||
# [[Ventilation and Weaning|Ventilator]]-associated lung bullae are a rarity. | |||
== Treatment == | == Treatment == | ||
Revision as of 06:35, 28 April 2023
Original Editor - Lucinda hampton
Top Contributors - Lucinda hampton
Introduction[edit | edit source]
A pulmonary bulla is an air-filled space, greater than 1 cm in diameter, that develops within the lung due to emphysematous damage of the lung. Pulmonary emphysema itself causes destruction of the distal lung design with lasting expansion of the alveolar space distal to the terminal bronchiole. Significantly 80% percent of patients presenting with bullae suffer from emphysema, a subset of chronic obstructive pulmonary disease (COPD).
Pathology[edit | edit source]
The development of lung bullae is heterogenis.
- Most commonly they are COPD-related emphysematous bullae,
- Pulmonary bulla may adjoin primary lung cancer and usually the prognosis is poor, no mater the size.[1]
- Ventilator-associated lung bullae are a rarity.
Treatment[edit | edit source]
Management options are manifold, for example; simply treating the underlying disease; ventilation strategies to prevent progression of the bullous lung disease; bronchoscopic intervention; when medical management is not enough, surgery is an option eg lung volume reduction surgery (LVRS) and lung transplantation. Finding from research indicate that elastic recoil of the lungs can improve post LVRS, improving the lungs functional expiratory airflow.[2][3]
Physiotherapy[edit | edit source]
Treatment will involves a respiratory therapists.
- Clients need to be educated on the correct use of inhaler and the use of spacers in conjunction with inhalers.
- Pulmonary rehabilitation is also an important element of treatment.
- Telehealth may have a role as a cost-effectiveness resource, however this still requires further evaluation.[3]
References[edit | edit source]
- ↑ Kaneda M, Tarukawa T, Watanabe F, Adachi K, Sakai T, Nakabayashi H. Clinical features of primary lung cancer adjoining pulmonary bulla. Interactive CardioVascular and Thoracic Surgery. 2010 Jun 1;10(6):940-4.Available: https://academic.oup.com/icvts/article/10/6/940/776078?login=false#102034279 (accessed 28.4.2023)
- ↑ Ruan SY, Huang CT, Chien JY, Kuo YW, Yu CJ. Non-surgical management of giant lung bullae during mechanical ventilation. Respiratory care. 2011 Oct 1;56(10):1614-6.Available:https://rc.rcjournal.com/content/56/10/1614 (accessed 28.4.2023)
- ↑ 3.0 3.1 Siddiqui NA, Mansour MK, Nookala V. Bullous emphysema. InStatPearls [Internet] 2021 Jul 26. StatPearls Publishing.Available:https://www.ncbi.nlm.nih.gov/books/NBK537243/ (accessed 28.4.2023)
