Logout
 ACCP Evidence-Based
 Guidelines
 CME Certificates
 Education Calendar
 Online Education
 Center of Excellence for
 Learning and Teaching
 Consensus Statements
   Consensus Statements
   Archive
   Consensus Statement
   Development Guide
 
 

Consensus Statements

Management of Spontaneous Pneumothorax
Interactive Web Site

Initial Management: Clinically Stable Patient with a Small SSP

Management Options (listed in order of preference)

  1. Hospitalize and either observe or place a chest tube

The patient should be hospitalized (good consensus) and either observed (good consensus) or treated with a chest tube (some consensus) depending on the extent of their symptoms and the course of their pneumothorax.

Note: Patients should not be managed in the emergency department with observation or by simple aspiration without hospitalization.

Would you like information regarding chest tube size selection?

Chest Tube Size Selection

 

Primary Data

Table 11—Secondary Spontaneous Pneumothorax With Signs and Symptoms Present <24 H: Initial Management

 

Other Information

Did your patient's pneumothorax progress during hospitalization with observation and develop a large pneumothorax or become unstable?

Clinically Stable Patient with a Large SSP or
Clinically Unstable Patient with Any Size SSP

Would you like information regarding the role of pulmonary function testing and age on the management of SSP?

Additional Clinical Factors to Consider for SSP

Would you like information regarding initial chest tube management once placed?

Initial Chest Tube Management

Would you like information regarding when to provide recurrence prevention and what type of recurrence prevention to provide?

Recurrence Prevention Information

Does your patient develop a persistent airleak after drainage tube placement and would you like information regarding airleak management?

Airleak Management

Would you like information regarding chest tube removal?

Chest Tube Removal

Would you like information regarding the role of computed tomography in the management of SSP?

Computed Tomography

 

| Clinical Assumptions | Data Tables |
| Definitions and Abbreviations |
| Table of Contents |
| Home |
 
  

3300 Dundee Road • Northbrook, Illinois 60062-2348 • (847) 498-1400 • (800) 343-2227
Copyright ©1999-2009 American College of Chest Physicians. All Rights Reserved.
ACCP Privacy Policy | ACCP Web Site Terms of Use