• June 25, 2019

BTS Pleural Guideline Group ii18 Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline A MacDuff, A Arnold. Guidelines for the management of spontaneous pneumothorax. Standards of Care Committee, British Thoracic Society. BMJ. Jul 10;()– Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline MacDuff A(1), Arnold A, Harvey J; BTS Pleural Disease .

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Invasive treatment Tension pneumothorax is always an indication for immediate treatment. Smoking and the increased risk of contracting spontaneous pneumothorax.

Indications, technique, management and complications. The lung is markedly or completely collapsed. Simple aspiration versus intercostal tube drainage for spontaneous pneumothorax in patients with pnejmothorax lungs.

Insert the trocar in to the pleural space without force. In special cases a CT scan may be necessary diagnostic problems, planning of surgery, investigation of aetiology.

Spontaneous Pneumothorax

Deficiencies of management of spontaneous pneumothoraces. Comparison of intracavitary bleomycin and talc for control of pleural effusions secondary to carcinoma of the breast.

Delayed referral reduces the success of video-assisted thoracoscopic surgery for spontaneous pneumothorax.

An aspirating needle is pushed into the pleural cavity and pleural drainage is set, thus converting the tension pneumothorax into an open pneumothorax. Preventive antibiotic usage in traumatic thoracic injuries requiring closed tube thoracostomy.


Results from 82 patients. In young, thin males the nipple will lie in the 5th intercostal space.

Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline

Incise the skin and subcutaneous tissue with a lancet as far as the upper margin btss the rib. Interpleural bupivacaine for analgesia during chest drainage treatment for pneumothorax. British Thoracic Society guidelines for the management of spontaneous pneumothorax: Following successful aspiration, patients with primary pneumothoraces should have a short period of observation in the Emergency Department before discharge. Occurrence in patients with acquired immunodeficiency syndrome.

A pneumothorax will resolve up to 4 times faster if high flow oxygen is administered. Comparison of the effectiveness of tetracycline and minocycline as pleural sclerosing agents in rabbits.

Evidence for destruction of lung tissues during Pneumocystis carinii infection. If the pneumothorax is recurrent or the patient has a high risk vocation, referral for a cardiothoracic outpatient appointment is appropriate. British Thoracic Society Research Committee. These are solid objects and on the left side the apex of the heart lies close to the insertion point!

Role of small calibre chest tube drainage for iatrogenic pneumothorax. Quantification of pneumothorax size on chest radiographs using interpleural distances: Open thoracotomy is rarely needed.

Br J Hosp Med. Primary spontaneous pneumothorax and smoking. A decade of experience. A propos de observations. Survey of spontaneous pneumothoraces in the Royal Air Force.

If the pneumothorax is large then some of the following features may be present:.



By definition, spontaneous pneumothoraces occur in the absence of any trauma including iatrogenic causes to the chest wall. Eur J Cardiothorac Surg. Results of a Pneumoyhorax of Veterans Affairs cooperative study.

Predicting risk of pneumothorax in needle biopsy of the lung. If the pleural leak exerts a one-way valve effect then a tension pneumothorax can develop.

There are two diagrams depicting the recommended treatment algorithm for a primary and secondary spontaneous pneumothorax, these are available to download at the end of this module. The patient does not have dyspnoea, the air-filled space is less than half of the pleural cavity the maximum width is less than 3 cmand it does not become larger during follow-up.

Pleurodesis using talc slurry. Endoscopic therapy in spontaneous pneumothorax Nd-YAG laser pleurodesis.

Spontaneous Pneumothorax – RCEMLearning

Unlike symptoms, the examination findings in primary spontaneous pneumothoraces are affected by the size of the pneumothorax. Chest drain suction high volume, low pressure should be considered when lung re-expansion has not occurred 48 hours after chest drain insertion, which is suggestive of an ongoing air leak.

Make the way to the pleural space with a blunt instrument crile.