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IJPR.2019.153

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Type of Article:  Case Report

Volume 7; Issue 4 (August 2019)

Page No.: 3184-3187

DOI: https://dx.doi.org/10.16965/ijpr.2019.153

BRONCHOPLEURAL FISTULA-THE ROLE OF PHYSIOTHERAPY REHABILITATION: A CASE REPORT

Monal J. Shah 1, Manali N. Yadav *2, Avdhut C. Gandhi 3.

1 Assistant professor, Department of Physiotherapy, MGM institute of health sciences, Kamothe, Navi Mumbai, Maharashtra, India.

*2 Senior resident, Department of Physiotherapy, MGM institute of health sciences, Kamothe, Navi Mumbai, Maharashtra, India.

3 Assistant professor, Department of surgery, MGMinstitute of health sciences, Kamothe, Navi Mumbai, Maharashtra, India.

Corresponding Author: Dr. Manali Yadav (PT), Senior resident, Department of Physiotherapy, MGM institute of health sciences, Kamothe, Navi Mumbai, Maharashtra, India. Phone no.: 9969076274 E-Mail: manalieyadav79@gmail.com

ABSTRACT

Purpose: Bronchopleural fistula is a commonest complication developed in post-traumatic cases and the management of which is still a challenge due to lack of scientific evidence. The purpose of this case report is to investigate the effects of physiotherapy treatment in management of patients with bronchopleural fistula.

Case Description: A 20-year-old man met with a road traffic accident following which he was diagnosed with hemopneumothorax and ICD was placed. Continuous removal of ICD over 3 to 4 times by patient himself in unconscious state lead to the development of bronchopleural fistula.

Results: The patient was seen for 15 sessions over 3 weeks period ( 5 days per week). At discharge, his Functional status score in ICU (FSS-ICU) was 35. He was able to complete exercise tolerance test in 6-minute time interval with 540 meters of distance involving 10 laps with single rest pause during 4th minute.

Discussion: Though bronchopleural fistula is considered as a relative complication of physical therapy; this case report suggests that with appropriate care physical therapy along with other medical management team can help to cure it and improve patient’s functional status as well as his quality of living.

Key words: Bronchopleural fistula, Surgical Intensive Care Unit, Glasgow Coma Scale, Active Cycle of Breathing Technique, Functional Status Score in ICU, Saturation of Oxygen.

REFERENCES

  1. Sarkar, P., Chandak, T., Shah, R., & Talwar, A. Diagnosis and Management Bronchopleural Fistula, 2010.
  2. Fistulas, B. Bronchopleural Fistulas. An Overview of the Problem With Special Focus on, 2005.
  3. Gosselink, R., Clerckx, B., Robbeets, C., Vanhullebusch, T., Vanpee, G., Segers, J. Physiotherapy in the Intensive Care Unit, 2011.
  4. Cameron, S., Ball, I., Cepinskas, G., Choong, K., Doherty, J., Ellis, et al. Early Mobilization in the Critical Care Unit: A Review of Adult and Pediatric Literature. Journal of Critical Care, 2015.
  5. Zomorodi, M., Topley, D.,Mcanaw, M. Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical / Trauma ICU, 2012.

Cite this article: Monal J. Shah, Manali N. Yadav, Avdhut C. Gandhi. BRONCHOPLEURAL FISTULA-THE ROLE OF PHYSIOTHERAPY REHABILITATION: A CASE REPORT. Int J Physiother Res 2019;7(4):3184-3187. DOI: 10.16965/ijpr.2019.153
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