Conservative management of primary spontaneous pneumothorax: A failed revolution?
نویسندگان
چکیده
منابع مشابه
Conservative management of spontaneous pneumothorax.
In recent years many authors have advocated prompt active treatment for spontaneous pneumothorax in the belief that patients treated in this way recover more quickly and suffer fewer relapses (Lenox-Smith, 1962; Smith and Rothwell, 1962; Hamel, Briggs, and Schulkins, 1963). The material on which this attitude is based is very often related to hospital admissions only and does not reflect the ov...
متن کاملStudy protocol for a randomised controlled trial of invasive versus conservative management of primary spontaneous pneumothorax
INTRODUCTION Current management of primary spontaneous pneumothorax (PSP) is variable, with little evidence from randomised controlled trials to guide treatment. Guidelines emphasise intervention in many patients, which involves chest drain insertion, hospital admission and occasionally surgery. However, there is evidence that conservative management may be effective and safe, and it may also r...
متن کاملAmbulatory 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 ...
متن کاملOutpatient management of primary spontaneous pneumothorax: a prospective study.
We prospectively assessed the safety and cost saving of a small-bore drain based procedure for outpatient management of first episodes of primary spontaneous pneumothorax. Patients were managed by observation alone or insertion of an 8.5-F "pig-tail" drain connected to a one-way valve, according to size and clinical tolerance of the pneumothorax. All patients were reassessed after 4 h, on the f...
متن کاملManagement 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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ژورنال
عنوان ژورنال: Respiratory Medicine and Research
سال: 2021
ISSN: 2590-0412
DOI: 10.1016/j.resmer.2020.100796