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Consensus Statements

Management of Spontaneous Pneumothorax
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Initial Management: Clinically Stable Patient with a Large PSP

Management Options (listed in order of preference)

  1. Hospitalize and re-expand lung

The patient should undergo a procedure to re-expand the lung (placement of a chest tube) and should be hospitalized in most instances (very good consensus).

  1. Small-bore catheter (<14F) with Heimlich valve and discharge

Reliable patients unwilling to undergo hospitalization may be discharged from the emergency department with a small-bore catheter attached to a Heimlich valve if the lung has re-expanded after removal of pleural air (good consensus).

Follow-up if Option 2 used: Patients should be provided with careful instructions for follow-up within 12 h to 2 days depending on circumstances. A chest radiograph should be obtained at the follow-up appointment to document resolution of the pneumothorax.

 

 

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