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Clinical importance of surgical emphysema post-local anesthetic thoracoscopy: A multi-center review of practice

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1 Department of Respiratory Medicine, Northumbria Healthcare NHS Trust, Northumbria Way, Cramlington NE23 6NZ, UK

2 Kettering General Hospital NHS Foundation Trust, Kettering, UK

3 Respiratory Department, University Hospital of North Midlands NHS Trust, Stoke on Trent, UK

Address correspondence to:

Avinash Aujayeb

Department of Respiratory Medicine, Northumbria Healthcare NHS Trust, Northumbria Way, Cramlington NE23 6NZ,

UK

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Article ID: 101522Z01SM2025

doi: 10.5348/101522Z01SM2025CS

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How to cite this article

Misra S, Waller L, Kiran S, Haris M, Reddy R, Dhary Y, Oakden V, Turnbull E, Aujayeb A. Clinical importance of surgical emphysema post-local anesthetic thoracoscopy: A multi-center review of practice. Int J Case Rep Images 2025;16(2):53–57.

ABSTRACT


Local anaesthetic thoracoscopy is a crucial intervention in the diagnosis and management of an unexplained exudative pleural effusion and increasingly performed as a day case procedure. Indwelling pleural catheters or large bore drains are usually inserted at the end of the procedure. Surgical emphysema post-local anesthetic thoracoscopy is common and benign in the absence of visceral air leaks. Concurrent surgical drains at the time of day case thoracoscopy with indwelling pleural catheter are not required.

Keywords: Indwelling pleural catheter, Large bore drain, Local anesthetic thoracoscopy, Surgical emphysema

SUPPORTING INFORMATION


Author Contributions

Suvojit Misra - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Laura Waller - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sidra Kiran - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mohamed Haris - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Raja Reddy - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Yaman Dhary - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Victoria Oakden - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Elizabeth Turnbull - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Avinash Aujayeb - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

No consent was required due to the retrospective anonymized nature of this project.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2025 Suvojit Misra et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.