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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Most air leaks will resolve after 2 weeks but the risk of infection of prolonged drainage may outweigh the low morbidity rate associated with surgical intervention, which has the added benefit of significantly reducing the future recurrence rate. Chest drain insertion is potentially dangerous, 27 cases of death or serious harm were reported as a result of chest drain insertion in the UK between and Log in to Reply.

Minimally invasive management for first and recurrent pneumothorax. Video-assisted thoracoscopic pleurectomy in the treatment of recurrent spontaneous pneumothorax. Reduced inflammatory response in minimal invasive surgery of pneumothorax. Primary spontaneous pneumothoraces occur in people with no underlying lung pathology.

The previous advice to avoid flying for 6 weeks is not supported by existing evidence. Am J Emerg Med. Spontaneous pneumothorax in chronic obstructive pulmonary disease: Open thoracotomy is rarely pneu,othorax.

Urgent treatment is essential. Experience with patients. Small pleural effusions are sometimes seen. See our privacy policy for more information on what cookies are, how we use them and how to change your preferences. Changes in atmospheric pressure can rapidly convert simple pneumothoraces to tension pneumothoraces with catastrophic consequences.


Efficacy of the lateral decubitus position in guidelinse pneumothorax after needle biopsy of the lung.

BTS guidelines for the management of spontaneous pneumothorax

Management of spontaneous pneumothorax-a Welsh survey. In many cases the symptoms are mild and approximately half of patients will present after more than 2 days of symptoms Pneumothorax in patients with AIDS.

The risk of percutaneous chest tube thoracostomy for blunt thoracic trauma. Long-term results after tetracycline pleurodesis in spontaneous pneumothorax. Holding the dilators close to the chest wall should prevent excessive force of insertion or a sudden give.

This triangle is penumothorax by the anterior border of latissimus dorsi posteriorly, the lateral aspect of pectoralis major anteriorly, and the 6th rib inferiorly forming an apex below the axilla. Their main use is when administering supplemental oxygen to patients with pneumothoraces secondary to COPD.

BTS guidelines for the management of spontaneous pneumothorax

However, the increased access to CT which is the most sensitive investigation has led to a significant reduction in the numbers of requests for additional lateral views. Sequential treatment of a simple pneumothorax.

Pleural abrasion via axillary thoracotomy in the era of video assisted thoracic surgery. Effectiveness of bleomycin in comparison to tetracycline as pleural sclerosing agent in rabbits. The main indication for performing additional views would be where a secondary pneumothorax is suspected as identification of even a small pneumothorax in this setting may significantly influence management.

Spontaneous Pneumothorax

The procedure is carried out as follows: Delayed referral reduces the success of video-assisted thoracoscopic surgery for spontaneous pneumothorax.


Aspirate air until resistance is felt or the patient gets a heavy cough, or until more than 2. These are solid objects and on the left side the apex of the heart lies close to the insertion point! Resection of pulmonary blebs and pleurodesis for spontaneous pneumothorax. Nd-YAG laser pleurodesis via thoracoscopy. By continuing to use this site you are consenting to our use of cookies. Usually a rupture of a pulmonary alveolus in guidellnes apex of the lung causes an air leak. Spontaneous pneumothorax and its treatment.

The BTS recommends guirelines any patient requiring admission be reviewed by a respiratory physician within 24 hours. Other catheters can be used if they have several holes in the last 10 cm of the catheter tip.

Pleurodesis using talc slurry. A decade of experience. National Center for Biotechnology InformationU.

Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline

The nitrogen content of pulmonary capillary blood decreases, resulting in as much as a fold increase in the gradient necessary for resorption. Comparison of thoracic drainage vs immediate or delayed needle aspiration.

We use cookies to store information to make your visit to this site richer and to personalize information according to your interests. A randomized double-blind study. The lung is markedly or completely collapsed.

Recurrence of primary spontaneous pneumothorax.