Simple sequential treatment for primary spontaneous pneumothorax: one step closer

Mt, Henry

doi:10.1183/09031936.06.00147005

Cited by 12 publications

(7 citation statements)

References 22 publications

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“…Those advocating interventions often quote as their objective in treatment to remove air from the pleural cavity or to improve symptoms. In fact, as Stradling and Poole noted 10 and others have confirmed, 3,18–20 the symptoms of spontaneous pneumothorax decrease or resolve spontaneously in most patients within the first day or so. The predominant symptom is usually pleuritic pain and it is this which seems to cause the subjective dyspnoea.…”

mentioning

confidence: 82%

Spontaneous pneumothorax: time for some fresh air

Simpson

2010

Internal Medicine Journal

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mentioning

confidence: 82%

Spontaneous pneumothorax: time for some fresh air

Simpson

2010

Internal Medicine Journal

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“…Also it is difficult to successfully keep the sealed catheter in place when moving a patient. 49 Modification of simple aspiration, including placement of a small-bore catheter ( 14F) with continued catheter residence, allowing subsequent aspiration as needed and attachment to a Heimlich valve device, may be acceptable in certain circumstances. In reality this equates to placement of a small-bore chest tube.…”

Section: Simple Aspirationmentioning

confidence: 99%

Management of Pneumothorax

Haynes

Baumann

2010

Semin Respir Crit Care Med

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Pneumothoraces are classified as spontaneous, traumatic, and iatrogenic. Spontaneous pneumothoraces (SPs) occur without recognized lung disease [primary spontaneous pneumothoraces (PSPs)] or due to an underlying lung disease [secondary spontaneous pneumothoraces (SSPs)]. Treatment of PSPs and SSPs has been heterogeneous in the United States. This heterogeneity in management is likely due in part to the fact that the American College of Chest Physicians guidelines and the British Thoracic Society guidelines differ on some management recommendations, including recommendations that pertain to simple aspiration. Traumatic pneumothoraces due to penetrating or nonpenetrating (blunt) trauma usually require the placement of a larger-bore chest tube. Iatrogenic pneumothoraces, most commonly due to transthoracic needle aspiration, may be treated in carefully selected patients with observation. The presence of underlying emphysema in the setting of an iatrogenic pneumothorax usually mandates placement of a drainage catheter.

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“…Indeed, there have been pilot studies assessing the use of CASP kits with reasonable success rates (61% in one study). 60,61…”

Section: Failed Aspirationmentioning

confidence: 99%

Pleural Interventions: Management of Acute and Chronic Pneumothorax

Rahman¹,

Davies²,

Gleeson³

2008

Semin Respir Crit Care Med

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Pneumothorax is a common clinical entity that may present to a wide variety of medical specialties. Primary pneumothorax (in the presence of no known underlying lung disease) and secondary pneumothorax (in known lung disease) are distinct entities with varied etiology, treatment, and prognosis. Diagnosis is usually based on clinical history and basic radiology, but more advanced radiological techniques may be required in certain circumstances. There is relatively little evidence on which to base management decisions in patients with pneumothoraces, and many important aspects of management (e.g., aspiration vs intercostal drainage, chest drain size, use of suction) are often based on best practice and expert opinion. The etiology of pneumothorax will often inform the clinician whether a more conservative or more invasive approach is required. Radiological intervention techniques are valuable in the treatment of complicated pneumothoraces and in certain clinical situations.

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Simple sequential treatment for primary spontaneous pneumothorax: one step closer

Cited by 12 publications

References 22 publications

Spontaneous pneumothorax: time for some fresh air

Spontaneous pneumothorax: time for some fresh air

Management of Pneumothorax

Pleural Interventions: Management of Acute and Chronic Pneumothorax

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