Traitement d’un premier pneumothorax spontané : drainage ou exsufflation ?

Desmettre, T.; Meurice, J.-C.; Kepka, Sabrina; Dalphin, Jean Charles

doi:10.1016/j.rmr.2010.10.028

Cited by 5 publications

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although data regarding the size of pneumothorax were not available in this retrospective study, the individual treatment strategy used for each patient was in line with current guidelines and it is unlikely that our study population differs substantially from the general population of patients admitted for this disease. Furthermore, the size of pneumothorax is not consensual according to recommendations of the ACCP and BTS, as previously shown in several studies [3, 4, 31].…”

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

How spontaneous pneumothorax is managed in emergency departments: a French multicentre descriptive study

et al. 2019

Self Cite

View full text Add to dashboard Cite

BackgroundManagement of spontaneous pneumothorax (SP) is still subject to debate. Although encouraging results of recent studies about outpatient management with chest drains fitted with a one-way valve, no data exist concerning application of this strategy in real life conditions. We assessed how SP are managed in Emergency departments (EDs), in particular the role of outpatient management, the types of interventions and the specialty of the physicians who perform these interventions.MethodsFrom June 2009 to May 2013, all cases of spontaneous primary (PSP) and spontaneous secondary pneumothorax (SSP) from EDs of 14 hospitals in France were retrospectively included. First line treatment (observation, aspiration, thoracic drainage or surgery), type of management (admitted, discharged to home directly from the ED, outpatient management) and the specialty of the physicians were collected from the medical files of the ED.ResultsAmong 1868 SP included, an outpatient management strategy was chosen in 179 PSP (10%) and 38 SSP (2%), mostly when no intervention was performed. Only 25 PSP (1%) were treated by aspiration and discharged to home after ED admission. Observation was the chosen strategy for 985 patients (53%). In 883 patients with an intervention (47%), it was performed by emergency physicians in 71% of cases and thoracic drainage was the most frequent choice (670 patients, 76%).ConclusionsOur study showed the low level of implementation of outpatient management for PS in France. Despite encouraging results of studies concerning outpatient management, chest tube drainage and hospitalization remain preponderant in the treatment of SP.Electronic supplementary materialThe online version of this article (10.1186/s12873-018-0213-2) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 87%

“…Despite the multicenter design, we cannot rule out the possibility of selection bias. Indeed, the participating centres were selected among departments involved in a national network (EXPRED study) [31]. However, different type of hospitals, both university teaching hospitals and non-academic (general) hospitals participated.…”

Section: Discussionmentioning

confidence: 99%