Thorax. May;58 Suppl 2:ii BTS guidelines for the management of spontaneous pneumothorax. Henry M(1), Arnold T, Harvey J; Pleural Diseases. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline MacDuff A(1), Arnold A, Harvey J; BTS Pleural Disease . If Bilateral/Haemodynamically unstable proceed to chest drain. BTS Pleural Disease Guideline MANAGEMENT OF SPONTANEOUS PNEUMOTHORAX.

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Computed tomography in the etiologic assessment of idiopathic spontaneous pneumothorax. Minimally invasive management for first and recurrent pneumothorax. Having said this, with the increasing use of ultrasound in Emergency Medicine, in the hands of an experienced user it can now reliably detect pneumothorax better than an anteroposterior chest radiograph. Subcutaneous and mediastinal emphysema.

The risk of percutaneous chest tube thoracostomy for blunt thoracic trauma. J Am Med Assoc. Traditionally, the treatment for a large pneumothorax has been the insertion of a large eg 28FG drain through an incision in the chest wall. Diving and chronic spontaneous pneumothorax. Delayed referral reduces the success of video-assisted thoracoscopic surgery for spontaneous pneumothorax. Needle thoracocentesis in tension pneumothorax: Management of intercostal drains. Video-assisted thoracoscopic pleurectomy in the treatment of recurrent spontaneous pneumothorax.

Parietal pleurectomy for recurrent spontaneous pneumothorax. Eur J Cardiothorac Surg. This is probably a conservative figure. Intercostal tube thoracostomy in pneumothorax–factors influencing re-expansion of lung. Respiratory gas exchange in patients with spontaneous pneumothorax.

The BTS recommends that any patient requiring admission be reviewed by a respiratory physician within 24 hours. Thoracoscopic surgery as a routine procedure for spontaneous pneumothorax. However, the National Patient Safety Agency30 has issued specific recommendations following reports of 12 deaths and 15 cases of serious harm associated with drain insertion between and The BTS guidelines recommend use of a cannula no greater than 16G in diameter for aspiration though evidence that larger cannulae are more likely to cause a persistent pleural leakis limited.


Safety and efficacy of video-assisted thoracic surgical techniques for the treatment of spontaneous pneumothorax.

Scand J Thorac Cardiovasc Surg. For patients with COPD, fixed concentration oxygen should be administered. Risk factors and treatment.

BTS guidelines for the management of spontaneous pneumothorax

Journal List Thorax v. British Thoracic Society guidelines for the management of spontaneous pneumothorax: Effectiveness of bleomycin in comparison to tetracycline as pleural sclerosing agent in rabbits. Operative pleurodesis in spontaneous guidrlines. Insertion of the drain just above the underlying rib minimises the risk of injury to the intercostal bundle.

BTS guidelines for the management of spontaneous pneumothorax

Spontaneous pneumothorax and its treatment. J Thorac Cardiovasc Surg. The classic presentation is that maangement sudden onset of pleuritic chest pain and dyspnoea at rest. This technique is becoming increasingly popular as it is associated with a shorter hospital stay and less postoperative pain.

However, the increased access to CT which is the most sensitive investigation has led to a significant reduction in the numbers pneumothotax requests for additional lateral views.

When following the BTS guidelines, pneumothorax size should be determined on a PA chest radiograph by measuring the distance from the lung edge to the thoracic wall at the level of the hilum and not at the apex.


Distribution of mechanical stress in the lung, a possible factor in localisation of pulmonary disease. Surgical treatment of spontaneous pneumothorax by wedge resection without pleurodesis or pleurectomy.

Videothoracoscopic operation for secondary spontaneous pneumothorax. Transaxillary minithoracotomy versus video-assisted thoracic surgery for spontaneous pneumothorax.

Spontaneous Pneumothorax

J Accid Emerg Med. Needle aspiration is less likely to succeed for secondary pneumothoraces 15 and is only recommended in this setting if the patient has a small pneumothorax cm in size and minimal symptoms.

Epidemiology of pneumothorax in England. Intrapleural tetracycline for spontaneous pneumothorax with persistent air leak. The presence of lung markings beyond the line in question, repeating the films with pnwumothorax artefacts removed or comparison to previous films usually clarifies the situation. Management of pneumothorax in adults with cystic fibrosis. Physiologic principles of drainage of the pleural space.

Management of spontaneous pneumothorax with small lumen catheter manual aspiration. The BTS Air Travel Working Party38 recommends that patients should be advised to avoid flying for at least a week after a chest radiograph has confirmed complete resolution of their spontaneous pneumothorax, or until they have recovered from a definitive surgical procedure aimed to prevent pneumothorax recurrence.

The management of spontaneous pneumothorax. Long-term results after tetracycline pleurodesis in spontaneous pneumothorax.