Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2023 Oct;53(10):1907-1910.
doi: 10.1111/imj.16243. Epub 2023 Oct 4.

Update on the management of first episode primary spontaneous pneumothorax in an Australian hospital network

Christopher Chew  1 , James Bartlett  2 , Anne-Maree Kelly  3   4
Affiliations
Comment

Update on the management of first episode primary spontaneous pneumothorax in an Australian hospital network

Christopher Chew et al. Intern Med J. 2023 Oct.

Abstract

International guidelines and recent research favour a less interventional approach to primary spontaneous pneumothorax (PSP). A retrospective clinical audit of 68 first-episode PSP was undertaken at a major tertiary teaching hospital network in Melbourne, Australia, found that most patients presenting with a moderate to large pneumothorax received initial intercostal catheter insertion (56%), though many (81%) would have met criteria for consideration of conservative management. The results suggest continued deviation from clinical guidelines in the management of PSP.

Keywords: Australia; audit; guidelines; intercostal catheter; pneumothorax; spontaneous pneumothorax.

PubMed Disclaimer

Comment on

  • Conservative versus Interventional Treatment for Spontaneous Pneumothorax.
    Brown SGA, Ball EL, Perrin K, Asha SE, Braithwaite I, Egerton-Warburton D, Jones PG, Keijzers G, Kinnear FB, Kwan BCH, Lam KV, Lee YCG, Nowitz M, Read CA, Simpson G, Smith JA, Summers QA, Weatherall M, Beasley R; PSP Investigators. Brown SGA, et al. N Engl J Med. 2020 Jan 30;382(5):405-415. doi: 10.1056/NEJMoa1910775. N Engl J Med. 2020. PMID: 31995686 Clinical Trial.

References

    1. Therapeutic Guidelines Limited. Primary spontaneous pneumothorax [published 2020 Dec]. Therapeutic Guidelines [digital]. 2021. Available from URL: https://tgldcdp.tg.org.au/viewTopic?etgAccess=true&guidelinePage=Res...
    1. MacDuff A, Arnold A, Harvey J. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65: ii18-ii31.
    1. Tschopp JM, Bintcliffe O, Astoul P, Canalis E, Driesen P, Janssen J et al. ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. Eur Respir J 2015; 46: 321-335.
    1. Bauman MH, Strange C, Heffner JE, Light R, Kirby TJ, Klein J et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001; 119: 590-602.
    1. Wakai A, O'Sullivan R, McCabe G. Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults. Cochrane Database Syst Rev 2007; 2017: CD004479.

LinkOut - more resources