Management options for patient with prolonged air leaks d/t peripheral alveolar fistula

Bronchoscopy should always be done to rule out stump dehiscence

Continuous observation on a drainage system

Pneumoperitoneum(mostly effective after lower lobectomy)

Cervical phrenic nerve infiltration with protected needle

Pleurodesis with talc, infiltration with protected needle

Embolization of bronchial tree with Gelfoam or coils

Reop

Sending the pt. home with a chest tube connected to a Heimlich valve