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Consensus Statements

Management of Spontaneous Pneumothorax
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Table 19—Pleural Sclerosing Agent of Choice for Spontaneous Pneumothorax Recurrence Prevention*
Pneumothorax type Doxycycline Minocycline
Primary† Preferred management ‡ (G)Û Indeterminate (SC)
Secondaryõ Preferred management (G) Certain circumstances (G)
 
Bleomycin Talc (slurry through chest tube)
Inappropriate (VG) Preferred management (G)
Acceptable rarely (G) Preferred management (VG)
*Decision has been made to place a chest tube and provide chemical sclerosis.
†Young previously healthy patient presents to the emergency department.
‡See Table 5Management Definitions.
ÛLevels of consensus (Table 4) appear in parentheses 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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