Pneumothorax: A therapeutic update

Cannon, W. B.; Mark, James B.D.; Jamplis, Robert W.

doi:10.1016/s0002-9610(81)80006-2

Cited by 38 publications

(13 citation statements)

References 6 publications

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“…Seven studies clearly stated a conservative approach to small PSP 17 20 27–31. Algorithms for active treatment varied from placement of a catheter with HV followed by NA,22 30 HV plus underwater seal,28 29 HV plus suction,25 or HV with no further action 17 20 21 27 31. Several series did not discharge patients from hospital unless there had been objective improvements in CXR appearances of the pneumothorax by whatever means 23 25 28 29 33 34…”

Section: Resultsmentioning

confidence: 99%

“…The same study examined the cost of NA versus inpatient ICT, and reported a cost ratio of 1:7. Two studies27 33 compared the use of OP HV with inpatient ICT reporting cost ratios of 1:3.5 and 1:5.…”

Section: Resultsmentioning

confidence: 99%

“…There is little reliable data from this review to confidently state a possible healthcare economic benefit from the use of HV to avoid hospital admission, although two studies suggest a benefit in favour of HV use compared with ICT as an inpatient 27 33. In 2005/2006, hospital episode statistics report 5954 finished consultant episodes for PSP in England 41.…”

Section: Discussionmentioning

confidence: 97%

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Ambulatory treatment in the management of pneumothorax: a systematic review of the literature

Brims

Maskell

2013

Thorax

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 97%

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Ambulatory treatment in the management of pneumothorax: a systematic review of the literature

Brims

Maskell

2013

Thorax

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“…Microcatheter aspiration (MCA) for the treatment of spontaneous pneumothorax has been reported as an alternative to large bore intercostal catheter (LBIC) insertion 1–7 . This study aimed to prospectively determine the success rate of the technique in spontaneous pneumothoraces treated in an emergency department.…”

Section: Introductionmentioning

confidence: 66%

Microcatheter aspiration of spontaneous pneumothoraces in an emergency department

Cruse

Jelinek

1993

Emergency Medicine

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Objective: To assess the efficacy of microcatheter aspiration (MCA) of spontaneous pneumothoraces in the Emergency Department of Fremantle Hospital. Methods: From 1986–1993, patients less than 45 years old with a first spontaneous pneumothorax on chest X‐ray of greater than 20% were treated with MCA. Those with underlying lung disease or tension were excluded. MCA was performed with a 16G central venous pressure catheter. Patients were reassessed radiologically at six and 24 hours. The procedure was considered successful if there was less than 15% residual pneumothorax after aspiration and at 24 hours. Results: Of thirty patients studied, 22 (73%) had successful aspiration and were discharged the following day. Conclusions: Literature review and results of this study suggest that MCA is appropriate initial treatment for first or subsequent spontaneous or iatrogenic pneumothoraces of 20% lung volume or more, in the absence of coexisting lung disease or tension. Most patients can be successfully treated in the Emergency Department and will not require admission. This should result in less morbidity and time in hospital.

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“…O mecanismo alternativo mais comumente usado em substituição ao selo de água é a válvula de Heimlich 27,28,29,30 . Esta válvula, descrita inicialmente para o traumatismo torácico dos soldados norte-americanos nos campos de batalha das guerras do Vietnã e de Israel, é prática, barata e pequena, 31 tem sido colocada em prática em diversos serviços pré-hospitalares e hospitalares 32 e mesmo no âmbito nacional, 33 mas não é livre de complicações.…”

Section: Lima Et Alunclassified

A drenagem pleural pré-hospitalar: apresentação de mecanismo de válvula unidirecional

Lima

Toro

Tincani

et al. 2006

Rev. Col. Bras. Cir.

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Resumo: Objetivos: O objetivo do presente estudo é apresentar um mecanismo de válvula unidirecional para substituição do selo de água na drenagem pleural tubular fechada, em ambiente pré-hospitalar, bem como registrar os resultados de seu uso inicial no SAMU-Campinas/SP/Brasil. Método: Foram realizadas 22 (vinte e duas) drenagens pleurais com válvula em doentes vítimas de traumatismo ou pneumotórax espontâneo, todos em ambiente pré-hospitalar, de forma prospectiva, não randomizada. Resultados: O débito total de líquidos através da válvula variou de zero a 1500 ml, com média de 700 ± 87,4 ml, para um tempo de percurso em média de 18 ± 1,1 minutos, variando de 8 a 26 minutos. A frequência cardíaca inicial foi 120 ± 2,7 bpm e final de 100 ± 2 bpm (p 0,00) e a frequência respiratória inicial foi 24 ± 0,8 ipm e o valor final foi de 15 ± 0,3 ipm (p 0,03). Houve apenas duas falhas mecânicas do sistema e uma foi corrigida pela substituição da mesma, trazudindo num índice de sucesso de 95,4% neste trabalho. Conclusões: Levando em conta exame físico inicial com o exame físico final, bem como pela quantificação de débitos, concluímos que a válvula mostrou-se eficiente e funcionante, e que é segura para o uso em urgências pré-hospitalares (Rev. Col. Bras. Cir. 2006; 33(2): 101-106).

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Pneumothorax: A therapeutic update

Cited by 38 publications

References 6 publications

Ambulatory treatment in the management of pneumothorax: a systematic review of the literature

Ambulatory treatment in the management of pneumothorax: a systematic review of the literature

Microcatheter aspiration of spontaneous pneumothoraces in an emergency department

A drenagem pleural pré-hospitalar: apresentação de mecanismo de válvula unidirecional

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