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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Management of pneumothorax.
Demondes Haynes1, Michael H Baumann
1Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA. dhaynes@umc.edu
Seminars in Respiratory and Critical Care Medicine
|January 8, 2011
Summary
Pneumothorax treatment varies. Guidelines differ on managing spontaneous pneumothoraces (SPs), while traumatic and iatrogenic cases have distinct management needs, often requiring chest tubes or observation.
Area of Science:
- Thoracic medicine
- Pulmonary critical care
Background:
- Pneumothoraces are categorized into spontaneous, traumatic, and iatrogenic types.
- Spontaneous pneumothoraces (SPs) include primary (PSP) and secondary (SSP) forms, differing by the presence of underlying lung disease.
Purpose of the Study:
- To review the heterogeneous treatment approaches for pneumothoraces in the United States.
- To highlight variations in management guidelines, particularly for spontaneous pneumothoraces.
Main Methods:
- Review of current clinical guidelines and management practices for different pneumothorax classifications.
- Analysis of treatment recommendations for spontaneous, traumatic, and iatrogenic pneumothoraces.
Main Results:
- Treatment for primary spontaneous pneumothoraces (PSPs) and secondary spontaneous pneumothoraces (SSPs) is inconsistent.
- Discrepancies exist between American College of Chest Physicians and British Thoracic Society guidelines.
- Traumatic pneumothoraces typically require chest tubes, while iatrogenic cases may allow observation, especially without emphysema.
Conclusions:
- Heterogeneity in pneumothorax management necessitates clearer, standardized treatment protocols.
- Specific patient factors, such as underlying emphysema, significantly influence the choice of intervention for iatrogenic pneumothoraces.
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