Bronchopleural Fistula

  • Ju-Mei Ng


>A bronchopleural fistula (BPF) is a persistent pathological ­communication between the central airways and the pleural cavity (excluding small peripheral air leaks for the purposes of this discussion). The incidence varies from 4.5 to 20% following pneumonectomy or 0.5% following lobectomy with a high mortality of between 18 and 50% (1).


Bronchopleural fistula Subcutaneous emphysema Chest drain Stump dehiscence Flexible bronchoscopy Lung isolation Ventilation Clagett procedure Open drainage procedures High-frequency jet ventilation 

Selected References

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    Cerfolio RJ. The incidence, etiology, and prevention of postresectional bronchopleural fistula. Semin Thorac Cardiovasc Surg. 2001;13:3–7.PubMedGoogle Scholar
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    Haraguchi S, Koizumi K, Hioki M, et al. Analysis of risk factors for postpneumonectomy bronchopleural fistulas in patients with lung cancer. J Nippon Med Sch. 2006;73:314–9.CrossRefGoogle Scholar
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    Clagett O, Geraci J. A procedure for the management of postpneumonectomy empyema. J Thorac Cardiovasc Surg. 1963;45:141–5.PubMedGoogle Scholar
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    Benjaminsson E, Klain M. Intraoperative dual-mode independent lung ventilation of a patient with bronchopleural fistula. Anesth Analg. 1981;60:118–9.PubMedCrossRefGoogle Scholar
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    Ihra G, Gockner G, Kashanipour A, et al. High-frequency jet ventilation in European and North American institutions, developments and clinical practice. Eur J Anaesthesiol. 2000;17:418–30.PubMedGoogle Scholar
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    Bishop MJ, Benson MD, Sato P, et al. Comparison of high-frequency jet ventilation with conventional mechanical ventilation from bronchopleural fistula. Anesth Analg. 1987;66:833–88.PubMedCrossRefGoogle Scholar
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    Baumann MH, Sahn SA. Medical management and therapy of bronchopleural fistulas in the mechanically ventilated patient. Chest. 1990;97:721–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Ju-Mei Ng
    • 1
  1. 1.Department of Anaesthesiology, Perioperative, and Pain MedicineBrigham and Women’s HospitalBostonUSA

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