Simple aspiration as initial treatment for primary spontaneous pneumothorax: Results of 91 consecutive cases

Chan, Sun On; Lam, P. M.

doi:10.1016/j.jemermed.2004.11.001

Cited by 43 publications

(42 citation statements)

References 25 publications

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“…Irrespective of the size of pneumothorax, number of previous episodes, or whether the current condition was considered primary or secondary, needle aspiration would be recommended as an initial treatment for all spontaneous pneumothorax when intervention was necessary (39,40). It had been used widely with its characteristics of easy operation, safety and less pain (41,42). However the issue whether to apply needle aspiration for PSP had still remained controversial after consulting existing literatures.…”

Section: Discussionmentioning

confidence: 99%

Chest tube drainage versus needle aspiration for primary spontaneous pneumothorax: which is better?

et al. 2017

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Background: Needle aspiration and chest tube drainages are two main treatments for primary spontaneous pneumothorax (PSP). However, the application of needle aspiration or chest tube drainages has not reached a consensus. The aim of this study is to compare the needle aspiration with chest tube drainages in patients suffering with PSP and therefore help offer suggestions for clinical practice. and risk ratio (RR) respectively, and each with 95% confidence intervals (CIs). We used the fixed effect or random effect model to perform quantitative synthesis.Results: A total of 6 RCTs recruiting 458 participants were included in our analysis. On the basis of the six studies, our results indicated that compared with chest tube drainage applying needle aspiration shortened the hospital stay (WMD: -1.67 days; 95% CI: -2.25 to 1.08; P<0.001) and decreased hospitalization rate (RR: 0.40; 95% CI: 0.22-0.75; P=0.004). However, there was no difference regarding immediate success rate (RR: 1.01; 95% CI: 0.70-1.46; P=0.96) and one-year recurrence rate (RR: 0.89; 95% CI: 0.58-1.38; P=0.61). Conclusions:In the light of this present research, it is necessary to apply needle aspiration into treating PSP to reduce hospitalization rate and shorten hospital stay. However, the two treatments have no significant difference with respect to immediate success rate, one-year recurrence rate, one-week success rate, three-month recurrence rate or complication rate.

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Section: Discussionmentioning

confidence: 99%

Chest tube drainage versus needle aspiration for primary spontaneous pneumothorax: which is better?

et al. 2017

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“…It is difficult to compare various reports with different clinical backgrounds, however, our aspiration techniques were consistent, performed by trained pulmonary physicians in one institution and we were able to follow as to what extent the simple aspiration would be successful. Chan and Lam (11) reported that the success rate in patients with larger pneumothorax size (more than 40%) was only 15.4%. We found that the PSP with less than 8 cm of the vertical rim and 50% of the collapsed area ratio achieved significantly better results compared with larger pneumothorax (Fig.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Simple Aspiration Therapy in the Initial Treatment for Primary Spontaneous Pneumothorax

et al. 2012

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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 All patients were treated safely without any serious complications. With the exception of one patient with an unknown result, the initial success rate after three days was 72.5% (66 out of 91 patients). Chest X-ray analysis at the first medical examination showed that the success rate was significantly low in patients with a larger vertical rim between the apex and top of the lung and a higher collapsed area ratio; in particular, the success rate was markedly decreased in cases that exceeded 8 cm and 50%, respectively. No significant difference was observed in the aspiration volume, however, the success rate was lower when the aspiration volume was more than 1,500 mL. The recurrence rate at one year was 36.4% (24 out of 66 successfully treated patients). Conclusion Our results are nearly identical to previous reports from other countries and show that simple aspiration has proved to be a safe and effective therapy.

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“…5 Simple aspiration of a pneumothorax has increasingly being utilized in treating simple pneumothoraces. A recent review of 91 consecutive cases by Chan and Lam 15 has shown that this technique is particularly successful for cases where the pneumothorax size is limited to less than 40% of chest size. Since the commencement of our review emergency room protocol for management of pneumothoraces has been adjusted such that pneumothoraces less than 30% of chest size are initially treated by needle aspiration in the emergency department.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous pneumothorax in children: When is invasive treatment indicated?

O'Lone

Elphick

Robinson

2007

Pediatric Pulmonology

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Summary. A retrospective review of pneumothoraces in children presenting to a major tertiary children's hospital is described. A total of 35 cases in 31 patients of spontaneous pneumothorax were identified over a 10-year period. There was one case of bilateral pneumothorax and three cases of recurrent pneumothoraces. Twenty-four cases (69%) required intercostal tube catheter drainage for a mean of 4.9 days (range 2-10 days). Eleven cases, including two cases in CF patients, and three cases in patients with Marfan's Syndrome proceeded to a secondary surgical procedure after a continuing air leak was present for an average of 5.9 days (range 2-16 days). In follow-up studies on 11 cases, 5 (45%) were found to have apical abnormalities of the lung on CT scanning. Pneumothoraces were identified in six cases of patients with cystic fibrosis as well as four in patients with Marfan's Syndrome. This present study has suggested that unless intercostal catheter treatment resolves the air leak associated with a spontaneous pneumothorax within 5 days that surgical intervention is most likely to be required to achieve a full resolution. Pediatr

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Simple aspiration as initial treatment for primary spontaneous pneumothorax: Results of 91 consecutive cases

Cited by 43 publications

References 25 publications

Chest tube drainage versus needle aspiration for primary spontaneous pneumothorax: which is better?

Chest tube drainage versus needle aspiration for primary spontaneous pneumothorax: which is better?

Evaluation of Simple Aspiration Therapy in the Initial Treatment for Primary Spontaneous Pneumothorax

Spontaneous pneumothorax in children: When is invasive treatment indicated?

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