Spontaneous pneumothorax in Norfolk

Hart, G.; Stokes, T.C.; Couch, A.H.C.

doi:10.1016/0007-0971(83)90023-2

Cited by 23 publications

(13 citation statements)

References 12 publications

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“…Conservative management of small pneumothoraces has been shown to be safe,47 53 54 and patients who are not breathless can be managed as outpatients providing they can easily seek medical attention if any deterioration in their symptoms occurs. Up to 80% of pneumothoraces estimated as smaller than 15% have no persistent air leak, and recurrence in those managed with observation alone is less than in those treated by chest drains 55.…”

Section: Treatment Options For Pneumothoraxmentioning

confidence: 99%

Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010

MacDuff

Arnold

Harvey

2010

Thorax

1,216

1,394

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Section: Treatment Options For Pneumothoraxmentioning

confidence: 99%

Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010

MacDuff

Arnold

Harvey

2010

Thorax

1,216

1,394

View full text Add to dashboard Cite

“…A conservative procedure has been found safe in a small PSP [10,[91][92][93]. Patients who have no dyspnea can be treated as outpatients with instructions to return if the symptoms increase.…”

Section: General Treatment Strategymentioning

confidence: 99%

“…A clinical and radiological control after 24 hours is recommended. The resorption of the pneumothorax can be documented at weekly intervals by chest X-ray [91][92][93]101].…”

Section: Outpatient/inpatient Treatmentmentioning

confidence: 99%

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

et al. 2018

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In Germany, 10,000 cases of spontaneous pneumothorax are treated inpatient every year. The German Society for Thoracic Surgery, in co-operation with the German Society for Pulmonology, the German Radiological Society, and the German Society of Internal Medicine has developed an S3 guideline on spontaneous pneumothorax and post-interventional pneumothorax moderated by the German Association of Scientific Medical Societies. Method: Based on the source guideline of the British Thoracic Society (2010) for spontaneous pneumothorax, a literature search on spontaneous pneumothorax was carried out from 2008 onwards, for post-interventional pneumothorax from 1960 onwards. Evidence levels according to the Oxford Center for Evidence-Based Medicine (2011) were assigned to the relevant studies found. Recommendations according to grade (A: “we recommend”/“we do not recommend,” B: “we suggest”/“we do not suggest”) were determined in 3 consensus conferences by the nominal group process. Results: The algorithms for primary and secondary pneumothorax differ in the indication for CT scan as well as in the indication for chest drainage application and video-assisted thoracic surgery. Indication for surgery is recommended individually taking into account the risk of recurrence, life circumstances, patient preferences, and procedure risks. For some forms of secondary pneumothorax, a reserved indication for surgery is recommended. Therapy of post-interventional spontaneous pneumothorax is similar to that of primary spontaneous pneumothorax. Discussion: The recommendations of the S3 Guideline provide assistance in managing spontaneous pneumothorax and post-interventional pneumothorax. Whether this will affect existing deviant diagnostic and therapeutic measures will be demonstrated by future epidemiological studies.

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“…19 Ninety-five percent of pneumothoraces are successfully treated at first attendance with observation alone or with a short period of intercostal tube drainage. 20 Other methods of chest tube drainage that are safe, simple and effective are mini-thoracostomy tubes, 21 small catheter drainage 22 or the Heimlich flutter valve. 23,24 There were three patients (12%) among our 25 patients with, recurrence of SP.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumothorax: A Retrospective Study of Twenty-Five Patients and Literature Review

et al. 1996

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We present a retrospective study of 25 patients with spontaneous pneumothorax (three recurrent), comprising 16 Saudis (nine males and seven females) and nine non-Saudis (eight males and one female), seen at the Asir Central Hospital, Abha, over a period of 45 months. Almost one-third of the patients (9/25) had no underlying cause discernible by our investigational facilities (chest x-ray, ultrasonography, computed tomographic scan, and flexible bronchofiberscopy). Underlying pneumonia (three patients), pulmonary tuberculosis (two patients), lung abscess (one patient), and congenital bullae (one patient) constituted the etiology in another third of the spontaneous pneumothorax patients. Other underlying pulmonary diseases precipitating spontaneous pneumothorax in the group included pulmonary fibrosis, metastatic mesothelioma, and immunosuppression in a medulloblastoma patient undergoing chemotherapy with the development of chickenpox. Closed thoracostomy tube drainage was the only method of treatment in 20 out of the 25 patients, with three failures of closed thoracostomy tube drainage needing thoracotomy and resection of blebs/bullae. The only complication was empyema in two of the patients. Two patients were successfully treated conservatively with observation alone. Ann Saudi Med 1996;16(3):249-253. A-N Batouk, S Jastaniah, IA Grillo, TS Malatani, AH Al-Saigh, MY Al-Shehri, B Teklu, A Softah, KA Mohmed Ali, Spontaneous Pneumothorax: a Retrospective Study of Twenty-Five Patients and Literature Review. 1996; 16(3): 249-253 The term pneumothorax was introduced almost two centuries ago by Itard in 1803, and popularized by Laennec in 1819.1 From that time until the mid-1930s, it was thought that all pneumothoraces were secondary to pulmonary tuberculosis.2 Kjaergaard's review of the subject in 1932 highlighted the occurrence of the condition in previously healthy individuals.3 If these "healthy individuals" had been thoroughly studied with modern medical, radiological or endoscopic investigations, they might have been found to have such occult abnormalities as blebs, bullae, or bronchial obstructions. 4 The Asir region of Saudi Arabia is a mountainous territory of about one million people, served by the Asir Central Hospital (ACH), a 450-bed tertiary hospital. Over a period of three years and nine months (1990)(1991)(1992)(1993)(1994), 25 patients were treated for spontaneous pneumothorax (SP) at ACH. As this problem has not been previously reviewed in this part of the world, we are presenting the first 25 adult patients of SP seen in this region and reviewing the literature in light of our experience. Patients and MethodsTwenty-five patients with spontaneous pneumothorax (SP) constitute the subjects of this retrospective study (April .1990 to December 1994. The patients consisted of 16 Saudis and nine non-Saudis seen at ACH, either on direct admission through the Emergency Department or upon referral from neighboring hospitals and admitted or evaluated only as outpatients. The demographics (nationality, sex...

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Spontaneous pneumothorax in Norfolk

Cited by 23 publications

References 12 publications

Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010

Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

Spontaneous Pneumothorax: A Retrospective Study of Twenty-Five Patients and Literature Review

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