| Spontaneous pneumothorax management. | |
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MedLine Citation:
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PMID: 21186751 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Guidelines for the management of spontaneous pneumothorax were published by the British Thoracic Society (BTS) in 2003. The aim of our study was to assess compliance with the BTS guidelines. A retrospective review was performed on all spontaneous pneumothoraces admitted to our hospital between June 2006 and December 2007. There were 29 pneumothoraces during the study period, 20 of which were primary spontaneous pneumothoraces (PSPs). All 15 (100%) large PSPs had an intercostal drain (ICD) inserted with a mean calibre of 20Fr, however only 1 of the 15 (6.7%) had a prior attempt at aspiration. High flow oxygen was used in 3/20 (15%) PSPs and 1/9 (11%) secondary spontaneous pneumothoraces (SSPs). 5/6 (83%) of large SSPs had ICDs placed with a mean calibre of 23.3Fr. Compliance with BTS guidelines was suboptimal. In particular, simple aspiration was underutilised with an over-reliance on unnecessary tube thoracostomy. Moreover, the calibre of intercostal drains used was in excess of BTS recommendations. This study highlights the need to formally adopt BTS guidelines, thereby establishing a more standardised practice which should improve management of spontaneous pneumothoraces. |
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Authors:
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M Pallin; M Open; E Moloney; S J Lane |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Irish medical journal Volume: 103 ISSN: 0332-3102 ISO Abbreviation: Ir Med J Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-12-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0430275 Medline TA: Ir Med J Country: Ireland |
Other Details:
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Languages: eng Pagination: 272-5 Citation Subset: IM |
Affiliation:
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AMNCH, Tallaght, Dublin 24. pallinm@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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