Consensus StatementsManagement of Spontaneous Pneumothorax
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| Certain circumstance | Acceptable rarely | Inappropriate | Indeterminate option |
|---|---|---|---|
| — | 2. Admit, observe (VG) 3.–6. Aspiration of any type (G–VG) 7. Chest tube (any size), admit (VG) |
8. Thoracoscopy (VG) | — |
| 5. Aspirate, Heimlich, discharge (G) 6. Aspirate, Heimlich, watch overnight (SC) 7. Chest tube (any size), admit (SC) |
4. Aspirate, remove catheter, admit (G) | 1. Observe, discharge (VG) 2. Admit, observe (VG) 8. Thoracoscopy (G) |
3. Aspirate, remove catheter, observe, discharge (G) |
| Pneumothorax size | Patient stability | Preferred management | Acceptable management |
|---|---|---|---|
| Small | Stable | 1. Observe, discharge* (VG)† | — |
| Large | Stable | — | — |
| *Numbers refer to the management options found in Table 7 containing a complete description of the option. †Levels of consensus (Table 4) appear in parenthesis after option: P = perfect, VG = very good, G = good, SC = some consensus, NC = no consensus |
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