Update on the management of first episode primary spontaneous pneumothorax in an Australian hospital network

Author:

Chew Christopher1ORCID,Bartlett James2,Kelly Anne‐Maree34ORCID

Affiliation:

1. Respiratory Fellow, Victorian Respiratory Support Service Austin Health Melbourne Victoria Australia

2. Respiratory Physician Western Health Melbourne Victoria Australia

3. Professor of Emergency Medicine Western Health Melbourne Victoria Australia

4. Professorial Fellow in Medicine University of Melbourne Melbourne Victoria Australia

Abstract

AbstractInternational guidelines and recent research favour a less interventional approach to primary spontaneous pneumothorax (PSP). A retrospective clinical audit of 68 first‐episode PSP was undertaken at a major tertiary teaching hospital network in Melbourne, Australia, found that most patients presenting with a moderate to large pneumothorax received initial intercostal catheter insertion (56%), though many (81%) would have met criteria for consideration of conservative management. The results suggest continued deviation from clinical guidelines in the management of PSP.

Publisher

Wiley

Subject

Internal Medicine

Reference20 articles.

1. Therapeutic Guidelines Limited.Primary spontaneous pneumothorax [published 2020 Dec]. Therapeutic Guidelines [digital].2021. Available from URL:https://tgldcdp.tg.org.au/viewTopic?etgAccess=true&guidelinePage=Respiratory&topicfile=pneumothorax&guidelinename=Respiratory§ionId=toc_d1e91#toc_d1e91

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

3. ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax

4. Management of Spontaneous Pneumothorax

5. Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults;Wakai A;Cochrane Database Syst Rev,2007

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