The Efficacy and Timing of Operative Intervention for Spontaneous Pneumothorax

Granke, Kenneth; Fischer, Carl R.; Gago, Otto; Morris, Joe D.; Prager, Richard L.

doi:10.1016/s0003-4975(10)60578-4

Cited by 46 publications

(12 citation statements)

References 13 publications

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“…However, surgical intervention carries a low morbidity128 129 137–140 and post-surgical recurrence rates are low 128 129. Surgical intervention as early as 3 days has advocates,141 142 but there is no evidence that intervention before 5 days is necessary for PSP. Each case should be assessed individually on its own merit.…”

Section: Referral To Thoracic Surgeonsmentioning

confidence: 99%

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

MacDuff

Arnold

Harvey

2010

Thorax

1,217

1,394

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Section: Referral To Thoracic Surgeonsmentioning

confidence: 99%

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

MacDuff

Arnold

Harvey

2010

Thorax

1,217

1,394

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“…In the past, an OP-indication was mostly observed after 5 days [94]. This boundary is, however, arbitrarily selected; some colleagues tend to earlier [140] or later [141] intervention.…”

Section: Operation Of the Pspmentioning

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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“…Significantly, earlier referral (2-4 days) should be considered in those with underlying disease, a large persistent air leak, or failure of the lung to re-expand. [91][92][93] If suction is to be applied to a chest drain, it is recommended that the patient should be situated in an area where specialist nursing experience is available. The addition of suction too early after the insertion of a chest tube, particularly in the case of a primary pneumothorax which may have been present for a few days, may precipitate re-expansion pulmonary oedema (RPO) and is contraindicated.…”

Section: Referral To Respiratory Specialists • Pneumothoraces Which Fmentioning

confidence: 99%

BTS guidelines for the management of spontaneous pneumothorax

Henry

Arnold

Harvey

2003

Thorax

525

319

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The Efficacy and Timing of Operative Intervention for Spontaneous Pneumothorax

Cited by 46 publications

References 13 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

BTS guidelines for the management of spontaneous pneumothorax

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