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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Thoracoscopic surgery as a routine procedure for spontaneous pneumothorax. Am J Med Sci.

Spontaneous Pneumothorax – RCEMLearning

Active treatment drainage or aspiration is indicated in other types of pneumothorax if one of the following conditions is fulfilled: Following successful aspiration, patients with secondary pneumothoraces should be admitted for observation.

Aspiration has even been recommended as the treatment of choice for all types of pneumothorax. Table 5 describes a method of needle aspiration. Transaxillary minithoracotomy versus video-assisted thoracic surgery for spontaneous pneumothorax. Secondary spontaneous pneumothoraces occur in patients with pre-existing lung parenchymal or pleural pathology e.

Treatment Conservative treatment Conservative treatment follow-up by chest x-ray every 1—3 days is feasible in spontaneous pneumothorax if the following conditions are fulfilled: Distribution of pneumothorax in the supine and semirecumbent critically ill adult.

Surgical intervention in spontaneous pneumothorax. The lung is markedly or completely collapsed. Three years’ experience in video-assisted thoracic surgery VATS for spontaneous pneumothorax.


The guidance below is based upon the BTS guidelines The clinical findings can be normal in a small gujdelines. Deficiencies of management of spontaneous pneumothoraces.

Its use as an analgesic is contraindicated in this setting. In addition to chest pain and breathing difficulties, its symptoms include tachycardia, cyanosis, distended blood vessels on the neck and hypotension.

It is advised that 2 weeks have elapsed following confirmed resolution if the pneumothorax was traumatic in origin, which corresponds to the advice issued pneumofhorax the UK civil aviation authority. Sequential treatment of a simple pneumothorax. In such cases the pleural space should be drained at the mid- or posterior axillary line in the sixth intercostal space the nipple is usually situated on the fifth intercostal space with a larger French 20—24 catheter.


The impact of spontaneous pneumothorax, and its treatment, on the smoking guodelines of young adult smokers. Management of pneumothorax in cystic fibrosis.

Does a thoracoscopic approach for surgical treatment of spontaneous pneumothorax represent progress? Spontaneous pneumothorax with Pneumocystis carinii infection.

Iodized talc pleurodesis for the treatment of pleural effusions.

Video-assisted thoracoscopic surgery does not deteriorate postoperative pulmonary gas exchange in spontaneous pneumothorax patients. The pain radiates to the ipsilateral shoulder. Treatment of pneumothoraces utilizing small caliber chest tubes.


Results from 82 patients. It should be remembered that narrower cannulae are also shorter and may not be long enough to reach the thoracic cavity in larger patients.

BTS guidelines for the management of spontaneous pneumothorax

When following the BTS guidelines, pneumothorax size should be determined on a PA chest radiograph by measuring the distance from the lung edge to the thoracic wall at the level of the hilum and not at the apex. Incise the skin and subcutaneous tissue with a lancet as far as the upper margin of the rib. Effect of concentration and pH. British Thoracic Society Research Committee. Effect of clinical guidelines on medical practice: A large emphysematous bulla may resemble pneumothorax and cause misinterpretation.

Clinical signs Suppressed or missing respiratory sounds, impaired chest mobility, and hollow echoing hypersonoric percussion sounds are often observed. Radiologic and pathologic findings. This article has been cited by other articles in PMC.

Survey of spontaneous pneumothoraces in the Royal Air Force. Surgical treatment of spontaneous pneumothorax by wedge resection without pleurodesis or pleurectomy.