Related Experiment Video

Updated: Jan 31, 2026

Studying Brain Function in Children Using Magnetoencephalography
08:00

Studying Brain Function in Children Using Magnetoencephalography

Published on: April 8, 2019

9.6K

Current Practice in the Management of Spontaneous Pneumothorax in Children

Kibileri Williams1,2, Lauren Baumann2,3, Julia Grabowski2,4

  • 11 Department of Surgery, Howard University Hospital, Washington, District of Columbia.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|December 29, 2018
PubMed

Insights

Pediatric surgeons show varied approaches to managing primary spontaneous pneumothorax (PSP). Current practices lack standardization, highlighting the need for evidence-based guidelines for pediatric PSP management.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Pulmonology

Background:

  • Primary spontaneous pneumothorax (PSP) management in children lacks established pediatric-specific guidelines.
  • Current practices among North American pediatric surgeons are not well-defined.

Purpose of the Study:

  • To survey North American pediatric surgeons regarding their current workup and management strategies for pediatric PSP.
  • To identify variations in clinical practice for PSP in children.

Main Methods:

  • An 18-question online survey was distributed to members of the American Pediatric Surgical Association.
  • Bivariate analysis, specifically Chi-square analysis, was used to analyze survey data.

Main Results:

  • A 33% response rate was achieved with 287 completed surveys.
  • Management for a first PSP episode varied: 57% chest tube, 4% VATS, 3% needle aspiration, 29% oxygen alone.
  • Significant variability exists in the use of chest CT, timing of surgery after persistent air leak, and surgical approach (apical blebectomy/pleurodesis).

Conclusions:

  • There is considerable heterogeneity in the management of pediatric PSP among surgeons.
  • Variations include diagnostic imaging, surgical timing, and management of persistent air leaks.
  • Further prospective research is essential to develop standardized guidelines for pediatric PSP.
Abstract

Keywords:
pneumothoraxspontaneous pneumothoraxvideo-assisted thoracoscopic surgery

More Related Videos

Best Current Practice for Obtaining High Quality EEG Data During Simultaneous fMRI10:35

Best Current Practice for Obtaining High Quality EEG Data During Simultaneous fMRI

Published on: June 3, 2013

33.3K
International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

14.7K

Related Concept Videos

Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.3K
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
1.0K
Spontaneity02:21

Spontaneity

A spontaneous process is one that occurs naturally under certain conditions. A nonspontaneous process, on the other hand, will not take place unless it is “driven” by the continual input of energy from an external source. Processes have a natural tendency to occur in one direction under a given set of conditions. Water will naturally flow downhill (spontaneous process), but uphill flow (nonspontaneous process) requires outside intervention such as the use of a pump. Iron exposed to...
29.8K
Spontaneous and Induced Mutations01:30

Spontaneous and Induced Mutations

Spontaneous mutations arise infrequently during DNA replication due to errors in the process. A key factor behind these errors is tautomeric shifts in nitrogenous bases, where bases transition from keto to enol forms or amino to imino forms. This shift can alter base-pairing rules, leading to mutations. Additionally, reactive oxygen species (ROS) arising from aerobic metabolism can damage DNA, resulting in depurination (loss of a purine base) or depyrimidination (loss of a pyrimidine base).
2.3K
Electrical Current01:10

Electrical Current

Electrical current is defined as the rate at which charge flows. When there is a large current present, such as that used to run a refrigerator, a large amount of charge moves through the wire in a small amount of time. If the current is small, such as that used to operate a handheld calculator, a small amount of charge moves through the circuit over a long period of time. The SI unit for current is the ampere (A), named for the French physicist André-Marie Ampère (1775–1836).
7.2K
Characteristics of Practical Op Amps01:16

Characteristics of Practical Op Amps

A difference amplifier, a crucial component in numerous electronic devices, ideally amplifies only the difference-mode signal, which is the difference between two input signals. However, in practical circuits, the output voltage depends on both the differential gain and the common-mode gain.
The ratio of differential gain to the common-mode gain is defined as the common-mode rejection ratio (CMRR). This ratio quantifies the ability of operational amplifiers (op-amps) to reject common-mode...
862