BTS Pleural Guideline Group ii18 Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline A MacDuff, A Arnold. Guidelines for the management of spontaneous pneumothorax. Standards of Care Committee, British Thoracic Society. BMJ. Jul 10;()– Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline MacDuff A(1), Arnold A, Harvey J; BTS Pleural Disease .

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Traumatic pneumothorax is often associated with haemothorax.

Spontaneous Pneumothorax

Catheter drainage of spontaneous pneumothorax: Long-term results after tetracycline pleurodesis in spontaneous pneumothorax. Long-term results with tetracycline pleurodesis.

Pathophysiology, diagnosis, and management. Role of CT in the management of pneumothorax in patients with complex cystic lung disease.

Spontaneous Pneumothorax – RCEMLearning

Support Center Support Center. This recognition and management of this complication is discussed later in the session. By definition, spontaneous pneumothoraces occur in the absence of any trauma including iatrogenic causes to the chest wall. Treatment of pneumothoraces utilizing small caliber chest tubes.

Needle thoracocentesis in tension pneumothorax: Surgical experience in the management of spontaneous pneumothorax, Its use as an analgesic is contraindicated in this setting. The BTS recommends that any patient requiring admission be reviewed by a respiratory physician within 24 hours.


Computed tomography in the etiologic pneumothoarx of idiopathic spontaneous pneumothorax. The management of spontaneous pneumothorax.

Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline

Tetracycline or talc can be administered via the chest drain. Aspirate air until resistance is felt or the patient gets a heavy cough, or until more than 2. Earlier application of suction is not recommended because of concerns over precipitating re-expansion pulmonary oedema, which conveys a significant mortality risk Operative pleurodesis in spontaneous pneumothorax.

Small drains may be associated with a higher failure rate when draining very large pneumothoraces but currently this evidence is limited. Symptomatic patients and those with large pneumothoraces, whether primary or secondary, require intervention.

Management of spontaneous pneumothorax: It is advised that 2 weeks have elapsed following confirmed resolution if the pneumothorax was traumatic in origin, which corresponds to the advice issued by the UK civil aviation authority.


This is probably a conservative figure. Video-assisted thoracoscopic pleurectomy in the treatment of recurrent spontaneous pneumothorax.


Changes in atmospheric pressure can rapidly convert simple pneumothoraces to tension pneumothoraces with catastrophic consequences.

Surg Clin North Am. Br J Hosp Med.

Re-expansion pulmonary oedema is more common in patients under 30 years old, those guirelines late presentation of a pneumothorax and those with large pneumothoraces Resection of pulmonary blebs and pleurodesis for spontaneous pneumothorax.

Patients with spontaneous secondary pneumothoraces less than 1cm in size and minimal symptoms do not require drainage in the ED but should be admitted for observation and supplemental oxygenation.

Comparison of the effectiveness of tetracycline and minocycline as pleural sclerosing agents in rabbits. Aspiration has even been recommended as the treatment of choice for all types of pneumothorax. This guidflines should only be performed by a person trained and signed off as competent to do so.

Role of small calibre chest tube drainage for iatrogenic pneumothorax. Guidelines for the management of spontaneous pneumothorax.