Prospective study of aspiration therapy for primary spontaneous pneumothorax

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Outpatient 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...

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Evaluation of simple aspiration therapy in the initial treatment for primary spontaneous pneumothorax.

OBJECTIVE A retrospective evaluation of the effectiveness of simple aspiration therapy in primary spontaneous pneumothorax was carried out. METHODS We enrolled 143 patients with mild and moderate primary spontaneous pneumothorax between June 2006 and October 2010. Clinical backgrounds and therapeutic results from 92 patients that underwent simple aspiration therapy were assessed. RESULTS Al...

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Oxygen therapy for spontaneous pneumothorax.

The rate of absorption of gas from a pneumothorax was studied in 12 patients breathing air and in 10 patients breathing air and a high concentration of oxygen alternately. The mean rate of absorption while breathing air was the same in both groups of patients. In the second group the rate consistently increased during periods of oxygen therapy and decreased again on breathing air. The mean rate...

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Aspiration versus tube drainage in primary spontaneous pneumothorax: a randomised study.

This randomised study was designed to compare clinical outcomes for simple aspiration versus tube thoracostomy, in the treatment of the first primary spontaneous pneumothorax (PSP) attack. A randomised trial, comparing simple aspiration with tube thoracostomy, in 137 patients with a first episode of PSP was carried out. Immediate success was obtained in 40 out of the 65 patients (62%) randomly ...

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A place for aspiration in the treatment of spontaneous pneumothorax.

In a retrospective survey of 195 patients with spontaneous pneumothorax, 100 had a deep (greater than 20%) air space. Thirty one patients were considered unsuitable for aspiration because of complicating disease. Sixty nine patients were treated by aspiration, and in 45 of these reexpansion was sufficient for the case to be managed as shallow pneumothorax while the patient remained ambulant. Th...

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ژورنال

عنوان ژورنال: The Journal of the Japanese Association for Chest Surgery

سال: 2020

ISSN: 0919-0945,1881-4158

DOI: 10.2995/jacsurg.34.196