Consensus StatementsManagement of Spontaneous Pneumothorax
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| Pneumothorax type | Risk of substantial airleak | <14F chest tube (small bore) | 16F to 22F chest tube |
|---|---|---|---|
| Primary | Not at significant risk* | Acceptable management† (G)‡ | Acceptable management (G) |
| Secondary | Not at significant risk | Certain circumstances (G) | Acceptable management (G) |
| Secondary | Significant risk presentÛ | Acceptable rarely (VG) | Certain circumstances (SC) |
| Pneumothorax type | 24F to 28F chest tube | 29F to 36F chest tube |
|---|---|---|
| Primary | Certain circumstances (G) | Inappropriate (VG) |
| Secondary | Certain circumstances (G) | Acceptable rarely (VG) |
| Secondary | Preferred management (VG) | Indeterminate (SC) |
| *Not in danger of mechanical ventilation or already placed on mechanical ventilation. †See Table 5—Management Definitions. ‡Levels of consensus (Table 4) appear in parenthesis after option: P = perfect, VG = very good, G = good, SC = some consensus, NC = no consensus. ÛHigh probability of needing mechanical ventilation or already placed on mechanical ventilation. |
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