Catheter Aspiration for Simple Pneumothorax

Delius, Ralph E.; Obeid, Farouck N.; Horst, H. Mathilda; Sorensen, Victor J.; Fath, John J.; Bivins, Brack A.

doi:10.1001/archsurg.1989.01410070091018

Cited by 68 publications

(41 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Subsequent studies included first episodes and recurrences of PSP, as well as secondary, traumatic and iatrogenic PTX [16][17][18][19][20][21]. Except for one study [16], the catheters were catheter-over-needle systems, with no shielding of the needle tip, and were placed either with [13][14][15]23] or without [16][17][18][19][20][21][22]24] radiological or ultrasound guidance. Not surprisingly, suction applied to these small catheters functioned as well as simple MA.…”

Section: Discussionmentioning

confidence: 99%

“…Such small catheters have proved successful in mixed pneumothorax (PTX) populations, most of them being iatrogenic [13][14][15][16][17][18][19][20][21][22][23][24]. The purpose of the present study was to assess the feasibility, safety and effectiveness of a comprehensive therapeutic algorithm that used small-calibre catheters connected to a one-way valve in first episodes of PSP.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Simplified stepwise management of primary spontaneous pneumothorax: a pilot study

Ch¹

2006

European Respiratory Journal

View full text Add to dashboard Cite

In primary spontaneous pneumothorax (PSP) requiring intervention, removal of air from the pleural space can be achieved by manual needle aspiration or by pleural drainage after insertion of a chest tube. This study aimed to evaluate the efficacy and safety of a serial-steps approach with a single system (small-calibre catheter/Heimlich valve) in a homogeneous population of patients with a first episode of PSP.All patients had an 8.5 F distally multiperforated polyurethane pigtail catheter inserted via the anterior route, at the bedside without any guidance, using the Seldinger technique. A one-way Heimlich valve was connected to the catheter, allowing the air to flow spontaneously outwards for 24-48 h. Thereafter, if the lung failed to re-expand wall suction was applied. Patients with an air leak persisting for .4 days were referred for surgery. Primary end-points were success rates at 24 h and 1 week, and 1 yr recurrence-free survival.In total, 41 consecutive patients entered the study. They were typically thin, young, smoking males. No procedure-related complications were observed. The need for pain relief medication was minimal. Within the first 24 h, most of the patients were able to walk around and half of them were able to take a shower with their catheter in place. The 24-h and 1-week success rates were 61 and 85%, respectively, and the actuarial 1-yr recurrence rate was 24%. Four patients underwent surgical pleurodesis because of a persistent air leak. The length of stay when excluding the four surgical cases was 2.3¡1.3 days.When 24-h and 1-week success rates and recurrence at 12 months were taken as end-points, the method described here is as effective as simple manual needle aspiration or a conventional chest tube thoracotomy. These results support further studies assessing this ''one system, serialsteps approach'' in an outpatient management algorithm.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Simplified stepwise management of primary spontaneous pneumothorax: a pilot study

Ch¹

2006

European Respiratory Journal

View full text Add to dashboard Cite

show abstract

“…The historic practice of simple aspiration, which is extremely easy to learn and carry out, which involves minimal discomfort for the patient, and which does not demand hospitalization, should always be attempted first. Since 1982, at least seven studies in 233 patients from the United States [2][3], Australia [4], United Kingdom [5][6][7] and Singapore [8] have shown that where simple aspiration is attempted, satisfactory re-expansion is achieved in 70% of patients with normal lung function; even in those Mayday University Hospital, Croydon, Surrey CR7 7YE, UK.…”

mentioning

confidence: 99%

Management of spontaneous pneumothorax: back to the future

Miller¹

1996

Eur Respir J

View full text Add to dashboard Cite

“…Cette opinion concorde avec les données de la littérature qui rapportent une incidence des complications hémorra-giques après drainage thoracique chez des patients sans AAP entre 0 et 4,2 % [11][12][13][14][15][16][17][18][19][33][34][35][36][37]. Une étude prospective monocentrique a rapporté l'absence de complication hémorragique au cours de 24 drainages thoraciques réalisés sous clopidogrel [38].…”

Section: Drainage Thoraciqueunclassified