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Updated: Jun 28, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
The urine bag used in pneumothorax
Y C Kuan1, S H How, G Yudisthra
1Department of Internal Medicine, Hospital Tengku Ampuan Afzan. kychunn@yahoo.com
A novel, cost-effective method for managing spontaneous pneumothorax using a urine bag as a chest drain alternative is presented. This approach offers a safe and accessible option for patients, particularly in resource-limited settings.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Medical Devices
Background:
- Pneumothorax, the presence of air in the pleural cavity, can be spontaneous, traumatic, or iatrogenic.
- Spontaneous pneumothorax (SP) is categorized as primary (PSP) or secondary (SSP), based on the presence of underlying lung disease.
- Current treatments include aspiration, intercostal tube drainage (often with underwater-seal systems), or surgery.
Observation:
- Mobile chest drains like the Heimlich valve facilitate outpatient management of SP but are expensive and not universally available.
- There is a need for affordable and accessible alternatives to existing chest drainage systems.
- This case report details the utilization of a standard urine bag as a substitute for traditional underwater-seal drainage in managing spontaneous pneumothorax.
Findings:
- The urine bag served as a functional and safe alternative to conventional chest drains for managing spontaneous pneumothorax.
- This method provides a low-cost, readily available option for pleural air evacuation.
Implications:
- The use of a urine bag represents a potential low-cost solution for spontaneous pneumothorax management, especially in resource-limited healthcare environments.
- This case highlights the adaptability of common medical supplies for critical patient care, warranting further investigation and potential wider adoption.
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