id author title date pages extension mime words sentences flesch summary cache txt cord-016280-d47e3art Friedberg, Joseph S. Pleura: Anatomy, Physiology, and Disorders 2008 .txt text/plain 14487 746 44 In addition to the discomfort, chest tube placement may be accompanied by a number of complications including empyema, lung injury and bleeding, and death." Therefore, coagulation profiles and immunocompetency should be taken into consideration for all patients considered for this procedure . If a large air leak is anticipated or if there is significant effusion associated with the pneumothorax, then a standard 28-French chest tube should be placed. Some of the indications for surgical treatment of a spontaneous pneumothorax include a second pneumothorax (ipsilateral recurrence or a new pneumothorax on the contralateral side); tension physiology; synchronous bilateral pneumothoraces; associated hemothorax (likely secondary to a tom adhesion and complicating approximately 5% of spontaneous pneumothoraces); failure of tube thoracostomy; and lifestyle factors. Chylothorax is an exudative effusion caused by disruption of the lymphatics in the chest, most commonly the thoracic duct, and subsequent drainage of chyle into the pleural space. ./cache/cord-016280-d47e3art.txt ./txt/cord-016280-d47e3art.txt