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Guideline Pneumothorax PDF

This document provides guidelines for the management of spontaneous pneumothorax. It outlines different treatment pathways depending on factors such as the size of the pneumothorax, symptoms, age of the patient, and history of smoking or underlying lung disease. For primary pneumothoraxes less than 2cm in size without breathlessness, aspiration with a cannula is recommended. Larger pneumothoraxes require chest tube drainage. Secondary pneumothoraxes are also treated with tube drainage or observation depending on size and symptoms. The guidelines aim to determine the most appropriate treatment to resolve the pneumothorax while minimizing risk and length of hospital stay.

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Rhapsody Karnovinanda
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232 views1 page

Guideline Pneumothorax PDF

This document provides guidelines for the management of spontaneous pneumothorax. It outlines different treatment pathways depending on factors such as the size of the pneumothorax, symptoms, age of the patient, and history of smoking or underlying lung disease. For primary pneumothoraxes less than 2cm in size without breathlessness, aspiration with a cannula is recommended. Larger pneumothoraxes require chest tube drainage. Secondary pneumothoraxes are also treated with tube drainage or observation depending on size and symptoms. The guidelines aim to determine the most appropriate treatment to resolve the pneumothorax while minimizing risk and length of hospital stay.

Uploaded by

Rhapsody Karnovinanda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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BTS Pleural Disease Guideline 2010

MANAGEMENT OF SPONTANEOUS PNEUMOTHORAX # Measure the interpleural


distance at the level of the hilum

Spontaneous Pneumothorax
If Bilateral/Haemodynamically unstable
proceed to chest drain #

Age > 50 and


significant smoking history
Primary NO YES Secondary
Evidence of underlying
Pneumothorax lung disease on exam Pneumothorax
or CXR?
YES > 2 cm or
breathless
Size > 2cm Aspirate
YES*
and/or 1618G cannula
breathless Aspirate <2.5l NO

NO Aspirate
Success 1618G cannula YES Size
(< 2cm and NO 12 cm
Aspirate <2.5l
breathing
improved)
YES NO
Success YES
NO
Size
Consider discharge now < 1cm
review in OPD in 24
weeks
Chest drain Admit
* In some patients with a large pneumothorax but minimal Size 814Fr High flow oxygen (unless suspected
symptoms conservative management may be appropriate Admit oxygen sensitive)
Observe for 24 hours
The BTS Pleural Disease Guideline is endorsed by: Royal College of Physicians, London; Royal College of Surgeons of England; Royal College of Physicians of Edinburgh; Royal College of Surgeons of Edinburgh; Royal College of Physicians and Surgeons of Glasgow; Royal College of Radiologists;
Royal College of Anaesthetists; Royal College of Pathologists; College of Emergency Medicine; Society for Acute Medicine; Association for Clinical Biochemistry; British Society of Clinical Cytology.
BTS Guideline for Pleural Disease 2010 is published in Thorax Vol 65 Supplement 2 and is available online at: http://www.brit-thoracic.org.uk/clinical-information/pleural-disease.aspx

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