Consensus StatementsManagement of Spontaneous Pneumothorax
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| Recurrence prevention therapeutic choices | |||
|---|---|---|---|
| Pneumothorax Type | After which occurrence should you provide recurrence prevention? | Chest tube placement with chemical pleurodesis through the chest tube | Surgical (operative) intervention with or without initial chest tube placement* |
| Primary† | Median: second occurrence 80% range‡: first or second occurrence |
Acceptable rarelyÛ (G)|| | Preferred management (VG) |
| Secondaryõ | Median: first occurrence 80% range: first or second occurrence |
Certain circumstances (G) | Preferred management (VG) |
| *Intervention type found in later tables. †Young previously healthy patient presents to the emergency department. ‡80% range is middle 80% of respondents around the median. ÛSee 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. õ55-year-old patient with COPD presents to the emergency department. |
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