Normativa sobre el diagnóstico y tratamiento del neumotórax espontáneo

Andrés, Juan José Rivas de; López, Marcelo F.; López-Rodó, Laureano Molins; Trullén, A. Pérez; Lanzas, Juan Torres

doi:10.1157/13125382

Cited by 9 publications

(17 citation statements)

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“…For example, the British Thoracic Society (BTS) in its 1993 guide recommends the use of aspiration as the first line of action for symptomatic spontaneous pneumothorax [9]. In a recently published document (August 2008), the Spanish Pneumatology and Thoracic Surgery Society (SEPAR) included simple percutaneous aspiration as a treatment option for spontaneous pneumothorax, while admitting that this practice is still used infrequently in Spain [10]. The American College of Chest Physicians (ACCP), however, still does not recommend the use of simple aspiration for symptomatic cases of spontaneous pneumothorax (recommending it only for small pneumothoraxes in stable patients, in whom the size of the pneumothorax is increasing) [11].…”

Section: Commentmentioning

confidence: 99%

“…However, a recent uncontrolled study challenged such management showing that thoracoscopy was superior to chest tube drainage as salvage after unsuccessful aspiration of PSP in terms of hospital stay and lower recurrence at 16 months [9]. Moreover, when chest tube drainage is the first approach for the management of PSP or after the failure of simple aspiration, it should be inserted and patients referred to special lung units with specialist medical and nursing experience, since intercostal tube placement can lead to serious complications, even death [10]. Patients requiring insertion of a chest tube should be informed that pleurodesis under thoracoscopy prevents recurrences of pneumothorax without prolongation of hospitalisation or complications, and is more cost-effective than conservative treatment with an intercostal tube [11].…”

Section: Commentmentioning

confidence: 99%

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Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis

Aguinagalde

Zabaleta

Fuentes

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Spontaneous pneumothorax is an extremely frequent pathology. Despite this, there is still no clear consensus on managing these patients. Therefore, we perform a systematic review and meta-analysis of the effectiveness of percutaneous aspiration compared with tube drainage for treating idiopathic spontaneous pneumothorax. Controlled, randomised clinical trials were selected, in which the effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission. Relevant articles were identified by searching electronic databases (e.g., Medline, EMBASE, CENTRAL, mRCT and Pascal), as well as the references of the papers found in this manner, with a cut-off date of April 2009. Quality was assessed by two independent evaluators, using the CASPe appraisal tool. Effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission.

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis

Aguinagalde

Zabaleta

Fuentes

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…The frequency of this disease is 18-28 / 100000 in men and 1.2-6 / 100000 in women. PSP makes up approximately 20% of hospitalizations in thoracic surgery clinics [4].…”

Section: Introductionmentioning

confidence: 99%

Are small bore thorax catheters effective in the treatment of primary spontaneous pneumothorax?

Balta¹,

Karacaoğlu²,

İliklerden³

et al. 2020

Journal of Surgery and Medicine

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Aim: The first option in the treatment of primary spontaneous pneumothorax (PSP) is still controversial. Large bore thoracic drains (LBTD) are generally preferred by clinicians. However, the use of small-bore thorax catheters (SBTC) has increased in recent years. In our study, we aimed to compare the treatment efficacy, clinical outcomes and pain levels of small and large diameter thoracic catheters used in PSP treatment. Methods: Patients over the age of 18 who presented with a diagnosis of PSP between August 2017 and August 2019 were included in the study. The patients were divided into two groups according to the application of small and large bore thorax drain. Demographic information, clinical results and pain levels of the groups were analyzed retrospectively. The duration of hospitalization, duration of drainage and Visual Analogue Scale (VAS) results were evaluated comparatively. Results: 95 male and 10 female patients with a median age of 26 (22-33) were included in the study. LBTD was applied to 47 (44.8%) and SBTC was applied to 58 (55.2%) of the patients. Recurrence was observed in 6 (12.8%) of LBTD group and in 4 (6.9%) SBTC group. VAS scores, drainage time, hospital stay were significantly less in patients with small-sized drainage. Conclusion: SBTC application is easy to apply, causes less pain, has shorter drainage time and duration of hospital stay. It is as effective as traditional thoracic drains in the treatment of PSP.

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“…regarding simultaneous bilateral primary spontaneous pneumothorax (SBPSP) 1 . In agreement with international guidelines, 2–4 the patients underwent bilateral VAT for definitive treatment. The guidelines recommend surgical referral for these patients because of the high incidence of congenital bullous disease and the risk of recurrence of pneumothorax if treatment is not appropriate.…”

mentioning

confidence: 97%

Treatment of bilateral spontaneous pneumothorax: The catheter drainage method is still useful!

Flores-Franco

López-Gonzalez

2008

Respirology

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Normativa sobre el diagnóstico y tratamiento del neumotórax espontáneo

Cited by 9 publications

References 0 publications

Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis

Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis

Are small bore thorax catheters effective in the treatment of primary spontaneous pneumothorax?

Treatment of bilateral spontaneous pneumothorax: The catheter drainage method is still useful!

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