Consensus Statements
Management of Spontaneous Pneumothorax
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Initial Chest Tube Management
Key point: Suction may be used if the lung fails to expand or used immediately.
For clinically stable patient with a large PSP or clinically unstable patient with a large PSP
- Suction not applied immediately.
Step 1: Catheters or tubes may be attached to either a Heimlich valve (good consensus) or water seal device (good consensus) and left in place until the lung expands against the chest wall and airleak resolves.
Step 2: If the lung fails to re-expand, suction should be applied to a water seal device.
- Suction applied immediately.
Step 1: Suction may be applied immediately after chest tube placement for all patients with a water seal system (some consensus).
Primary Data
Table 15—Initial Chest Tube Management: Role of Suction
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Other Information
Would you like information regarding chest tube removal?
Chest Tube Removal
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 when to provide recurrence prevention and what type of recurrence prevention to provide?
Recurrence Prevention Information
Would you like information regarding the role of computed tomography in the management of primary spontaneous pneumothorax?
Computed Tomography
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