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Consensus Statements

Management of Spontaneous Pneumothorax
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Table 22—Role of Computed Tomography of the Chest in Managing Spontaneous Pneumothorax
Circumstances to order computed tomography of the chest (including possibly high resolution tomography) to plan or determine a management strategy*
Pneumothorax type First occurrence Recurrent
Primary Acceptable rarely† (G)‡ Indeterminate (SC)
Secondary Indeterminate (G) Acceptable management (G)
 
During management of an airleak For planning a surgical intervention (for airleak correction or recurrence prevention)
Indeterminate (SC) Indeterminate (NC)
Acceptable management (SC) Acceptable management (SC)
*Assuming a normal chest radiograph other than potential pneumothorax.
†See Table 5Management 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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