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 .

Author: Dut Shakarisar
Country: Sri Lanka
Language: English (Spanish)
Genre: Sex
Published (Last): 2 May 2006
Pages: 208
PDF File Size: 3.34 Mb
ePub File Size: 1.35 Mb
ISBN: 287-2-39488-342-4
Downloads: 7106
Price: Free* [*Free Regsitration Required]
Uploader: Kirr

Most patients with spontaneous pneumothoraces that have resolved need no further follow up. Br J Hosp Med. The pneumothorax should decrease in size in 3—4 days and disappear in two weeks at the latest.

Video-assisted thoracoscopic treatment of spontaneous pneumothorax: Catheter aspiration for simple pneumothorax. Videothoracoscopic ligation of bulla and pleurectomy for spontaneous pneumothorax. Distribution of mechanical stress in the lung, a possible factor in localisation of pulmonary disease.

A decade of experience. Expiratory films add little to the PA radiograph and are not routinely recommended. Primary spontaneous pneumothorax and smoking. Interpleural bupivacaine for analgesia during chest drainage treatment for pneumothorax. Compared to breathing room air, a pneumothorax will resolve 4 times faster if the patient is on high flow oxygen Open thoracotomy is rarely needed. British Thoracic Society guidelines for the management of spontaneous pneumothorax: Occurs most frequently in men aged 20—40 years and in tall, thin persons.


Incise the skin and subcutaneous tissue with a lancet as far as the upper margin of the rib. Clinical analysis of reexpansion pulmonary edema. This triangle is formed 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. Respiratory gas exchange in patients with spontaneous pneumothorax.

Management of spontaneous pneumothorax-a Welsh survey. Symptoms Sharp chest pain, dyspnoea and cough irritation are the main symptoms.

Having said this, with the increasing use of ultrasound in Emergency Medicine, in the hands of an experienced user it can now reliably detect pneumothorax better than an anteroposterior chest radiograph. Safer insertion of pleural drains. Treatment of pneumothoraces utilizing small caliber chest tubes. Am J Med Sci. Its use as an analgesic is contraindicated in this setting. It should be remembered that narrower cannulae are also shorter and may not be long enough to reach the thoracic cavity in larger patients.

Treatment options and long-term results.

Pleural disease and acquired immune deficiency syndrome. Intercostal tube thoracostomy in pneumothorax–factors influencing re-expansion of lung. J Accid Emerg Med. Vts Can Assoc Radiol.

The symptoms do not correlate closely with the size of the pneumothorax Preventive antibiotic usage in traumatic thoracic injuries requiring closed tube thoracostomy. Simple aspiration versus intercostal tube drainage for spontaneous pneumothorax in patients with normal lungs.


Acute ventilatory failure from massive subcutaneous emphysema. Pneunothorax radiograph taken during expiration may be helpful. Pneumothorax in cystic fibrosis: Complication rates of tube thoracostomy. Indications, technique, management and complications.


A pneumothorax will resolve up to 4 times faster if high flow oxygen is administered. Aspirate air until resistance is felt or the patient gets a heavy cough, or until more than 2.

Insertion in the safe triangle picture attempts to avoid injury to the long thoracic nerve and lateral thoracic artery, which sit in the mid-axillary line.

Due to changes in the relative pressures, the ventilation is suddenly impaired. If the lung is not inflated insert another drain.

Primary spontaneous pneumothoraces occur in people with no underlying lung pathology. Essentials Tension pneumothorax must be identified and treated immediately. Pneumothorax in patients with AIDS.

BTS guidelines for the management of spontaneous pneumothorax

Chest radiograph–a poor method for determining the size of a pneumothorax. In young, thin males the nipple will lie in the 5th intercostal space. Timing of invasive procedures in therapy peumothorax primary and secondary spontaneous pneumothorax. Thoracostomy tubes after acute chest injury: Subcutaneous emphysema may be present a crepitation on pressing the skin.