Consensus StatementsManagement of Spontaneous Pneumothorax
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| Pneumothorax type | Immediate suction through water seal chamber | Water Seal, alone (regardless of lung expansion) | Heimlich valve (or similar device), alone (regardless of lung expansion) |
|---|---|---|---|
| Primary | Acceptable management† (SC)‡ | Certain circumstances (VG) | Certain circumstances (G) |
| Secondary | Acceptable management (SC) | Certain circumstances (G) | Acceptable rarely (G) |
| Pneumothorax type | Water seal, then suction, if lung not reexpanded on chest radiograph | Heimlich valve (or similar device), then suction, if lung not reexpanded on chest radiograph |
|---|---|---|
| Primary | Acceptable management (G) | Acceptable management (SC) |
| Secondary | Acceptable management (G) | Indeterminate (SC) |
| *Spontaneously breathing, nonintubated patient without a large airleak. †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. |
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