Can Heimlich Valves Along With Intercostal Catheters Be Used to Safely Manage Pneumothoraces for Outpatients?

Tupchong, Keegan; Foran, Mark; Koyfman, Alex

doi:10.1016/j.annemergmed.2014.05.009

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…For years there has been controversy about how to manage primary spontaneous pneumothorax, mostly because of a lack of highquality evidence. 2 As such, consensus guidelines differ in both the definition of a large pneumothorax (requiring intervention) and recommended treatment. 3,4 The American College of Chest Physicians defines a large pneumothorax radiographically as 3 cm or more from lung apex to cupola, whereas the British Thoracic Society defines it as more than 2 cm between the lung margin and chest wall at the level of the hilum.…”

Section: Resultsmentioning

confidence: 99%

Update: Is Needle Aspiration Better Than Chest Tube Placement for the Management of Primary Spontaneous Pneumothorax?

Tupchong

2018

Annals of Emergency Medicine

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Section: Resultsmentioning

confidence: 99%

Update: Is Needle Aspiration Better Than Chest Tube Placement for the Management of Primary Spontaneous Pneumothorax?

Tupchong

2018

Annals of Emergency Medicine

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“…However, this study included only 48 patients and the criteria for success were different in the 2 groups, which could explain the difference concerning hospitalization rates. Nonetheless, high quality studies of clinical efficacy are warranted to compare the use of Heimlich valves with intercostal catheters, versus standard tube thoracostomy, versus needle aspiration [4, 16]. Although this former strategy appears safe, complications have been described and must be taken into account [17].…”

Section: Discussionmentioning

confidence: 99%

How spontaneous pneumothorax is managed in emergency departments: a French multicentre descriptive study

et al. 2019

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BackgroundManagement of spontaneous pneumothorax (SP) is still subject to debate. Although encouraging results of recent studies about outpatient management with chest drains fitted with a one-way valve, no data exist concerning application of this strategy in real life conditions. We assessed how SP are managed in Emergency departments (EDs), in particular the role of outpatient management, the types of interventions and the specialty of the physicians who perform these interventions.MethodsFrom June 2009 to May 2013, all cases of spontaneous primary (PSP) and spontaneous secondary pneumothorax (SSP) from EDs of 14 hospitals in France were retrospectively included. First line treatment (observation, aspiration, thoracic drainage or surgery), type of management (admitted, discharged to home directly from the ED, outpatient management) and the specialty of the physicians were collected from the medical files of the ED.ResultsAmong 1868 SP included, an outpatient management strategy was chosen in 179 PSP (10%) and 38 SSP (2%), mostly when no intervention was performed. Only 25 PSP (1%) were treated by aspiration and discharged to home after ED admission. Observation was the chosen strategy for 985 patients (53%). In 883 patients with an intervention (47%), it was performed by emergency physicians in 71% of cases and thoracic drainage was the most frequent choice (670 patients, 76%).ConclusionsOur study showed the low level of implementation of outpatient management for PS in France. Despite encouraging results of studies concerning outpatient management, chest tube drainage and hospitalization remain preponderant in the treatment of SP.Electronic supplementary materialThe online version of this article (10.1186/s12873-018-0213-2) contains supplementary material, which is available to authorized users.

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Needle Aspiration Versus Closed Thoracostomy in the Treatment of Spontaneous Pneumothorax: A Meta-analysis

Tan

Chen

He³

et al. 2020

Lung

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Can Heimlich Valves Along With Intercostal Catheters Be Used to Safely Manage Pneumothoraces for Outpatients?

Cited by 3 publications

References 7 publications

Update: Is Needle Aspiration Better Than Chest Tube Placement for the Management of Primary Spontaneous Pneumothorax?

Update: Is Needle Aspiration Better Than Chest Tube Placement for the Management of Primary Spontaneous Pneumothorax?

How spontaneous pneumothorax is managed in emergency departments: a French multicentre descriptive study

Needle Aspiration Versus Closed Thoracostomy in the Treatment of Spontaneous Pneumothorax: A Meta-analysis

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