Management of pneumothorax: an update
1Director of Interventional Pulmonology, Pulmonary and Critical Care Medicine Division, University of Cincinnati, Cincinnati, Ohio, USA.
Current Opinion in Pulmonary Medicine
|December 3, 2021
Summary
Outpatient management for primary and secondary spontaneous pneumothorax (SSP) is increasingly feasible and safe. Discussing these outpatient options with patients is recommended for informed treatment decisions.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Critical Care Medicine
Background:
- Pneumothorax represents a significant global health concern.
- Current management strategies for pneumothorax exhibit considerable variability.
- Recent advancements have focused on the outpatient treatment of spontaneous pneumothorax.
Purpose of the Study:
- To review the latest evidence regarding the management of nontraumatic pneumothorax.
- To evaluate current developments in the outpatient management of primary and secondary spontaneous pneumothorax (SSP).
- To include the specific context of pneumothorax associated with COVID-19 infection.
Main Methods:
- Systematic review of recent scientific literature.
- Analysis of clinical trial data and observational studies.
- Evidence synthesis on outpatient management protocols.
Main Results:
- Outpatient management strategies for primary spontaneous pneumothorax demonstrate safety and feasibility.
- Outpatient management for secondary spontaneous pneumothorax (SSP) is also considered safe and feasible.
- Emerging evidence supports the viability of ambulatory care for specific pneumothorax cases.
Conclusions:
- Outpatient management should be presented as a viable treatment option for patients with primary and secondary spontaneous pneumothorax.
- Shared decision-making regarding treatment options, including outpatient care, is crucial.
- Further research may refine criteria for selecting appropriate candidates for outpatient pneumothorax management.
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