Empyema

And
Pneumothorax
Dr Vivek Gharpure
Lung
mechanics

Action of respiratory muscles

Reduction in intrapleural pressure
Air moves in
Fluid in pleura pushed out
In addition to control of
inflammation,
Active measures to ensure lung
expansion.
Essential component of therapy.
Pleura closed space.
In empyema, meniscus present.
Level of tube immaterial, if lung
expansion adequate.
If lung does not expand
And
Inflammation subsides
Risk of healing by fibrosis
Thick peal over lung
Trapping
Failure of expansion
Persistent cavity