Ambulatory management of large primary spontaneous pneumothorax

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Ambulatory management of large primary spontaneous pneumothorax.

In a recent issue of the European Respiratory Journal, MASSONGO et al. [1] reported the results of a prospective study dealing with ambulatory management of primary spontaneous pneumothorax (PSP) using a pigtail catheter with one-way valve in a series of 60 consecutive patients. The authors reported a success rate of 83%, a 1-year recurrence rate of 17% and full outpatient management in 50% of ...

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Ambulatory management of large spontaneous pneumothorax with pigtail catheters.

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 spontane...

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Partial ambulatory management of severe secondary spontaneous pneumothorax

Secondary spontaneous pneumothorax can be difficult to manage especially in patients with advanced lung disease and respiratory failure. Such patients are unfit for surgery and may endure prolonged hospital stays with chest drains in situ. We describe two such cases where the air leak was persistent despite conventional management. Ambulatory devices which we ordinarily use to manage pneumothor...

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Management of spontaneous pneumothorax.

Management of patients with a spontaneous pneumothorax continues to challenge clinicians. Recent guidelines help provide care pathways for these patients and highlight the many areas in need of additional study. Management options for spontaneous pneumothoraces should be selected based primarily upon a patient's clinical status. Observation or pleural air drainage, in selected patients, plays a...

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Management of spontaneous pneumothorax.

Spontaneous pneumothorax occurring In the apparently healthy individual was first named and described by Itard’ in 1803. In 1826 Laennec2 accurately described the occurrence of such a phenomenum, and following McDowell3 in 1856, who described the condition In a tuberculous patient, the etiology was accepted as tuberculous in the majority of cases until Kjaergaard4 (1932 and 1933) revealed that ...

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ژورنال

عنوان ژورنال: European Respiratory Journal

سال: 2014

ISSN: 0903-1936,1399-3003

DOI: 10.1183/09031936.00111113