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pneumothorax: treat and street

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2 papers 25 to 100 followers
By Jason Mann No BS pulmonary critical care fellow
Oliver J Bintcliffe, Rob J Hallifax, Anthony Edey, David Feller-Kopman, Y C Gary Lee, Charles H Marquette, Jean-Marie Tschopp, Douglas West, Najib M Rahman, Nick A Maskell
There are substantial differences in international guidelines for the management of pneumothorax and much geographical variation in clinical practice. These discrepancies have, in part, been driven by a paucity of high-quality evidence. Advances in diagnostic techniques have increasingly allowed the identification of lung abnormalities in patients previously labelled as having primary spontaneous pneumothorax, a group in whom recommended management differs from those with clinically apparent lung disease. Pathophysiological mechanisms underlying pneumothorax are now better understood and this may have implications for clinical management...
July 2015: Lancet Respiratory Medicine
Fanny Voisin, Laurent Sohier, Yann Rochas, Mallorie Kerjouan, Charles Ricordel, Chantal Belleguic, Benoit Desrues, St├ęphane Jouneau
STUDY OBJECTIVE: There is no consensus about the management of large spontaneous pneumothoraces. Guidelines recommend either needle aspiration or chest tube drainage and most patients are hospitalized. We assess the efficiency of ambulatory management of large spontaneous pneumothoraces with pigtail catheters. METHODS: From February 2007 to January 2011, all primary and secondary large spontaneous pneumothoraces from Lorient's hospital (France) were managed with pigtail catheters with a 1-way valve...
September 2014: Annals of Emergency Medicine
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