PMID: 24364094Dec 25, 2013Paper

Initial treatment of primary spontaneous pneumothorax by a team which does not include a thoracic surgeon

Harefuah
Ehud DeviriIlan Bar

Abstract

Primary Spontaneous Pneumothorax (PSP) refers to air in the pleural cavity occurring in the absence of overt underlining pulmonary disease. Smoking is an important predisposing factor for PSP. Once PSP is diagnosed the size of the PSP should be assessed according to a chest radiogram. PSP smaller than 20% with minimal symptoms should be observed on an outpatient basis. Symptomatic patients or those with a larger PSP should be hospitalized and treated initially by an intrapleural catheter or a small chest tube inserted by the Seldiger technique without active suction. If full lung expansion and air leak cessation is not achieved within 24 hours active suction should be applied. Following this treatment up to 90% of large or symptomatic PSP cases can be managed successfully. In cases of failure of the lung to expand or persistent air leak within 3 days, recurrent PSP, or first presentation of bilateral PSP the patient should be referred to a surgical team. The preferred surgical option is VATS while open thoracotomy [either limited muscle sparing or full thoracotomy] should be used in special cases. Following this scheme some PSP cases in early stage can successfully be treated in hospitals which do not have a thoracic surgeon.

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of Emergency Medicine
P ValleeM Tomlanovich
Respiration; International Review of Thoracic Diseases
Fengshi ChenKoji Chihara
© 2021 Meta ULC. All rights reserved