First Episode of Primary Spontaneous Pneumothorax: Who and How to Treat?

Authors

  • A. Salé Service de chirurgie thoracique, hôpital Pontchaillou, université de Rennes 1
  • F. Thépault Service de chirurgie thoracique, hôpital Pontchaillou, université de Rennes 1
  • M. Labalette Service de chirurgie thoracique, hôpital Pontchaillou, université de Rennes 1
  • M. Kerjouan Service de chirurgie thoracique, hôpital Pontchaillou, université de Rennes 1
  • B. De Latour Service de chirurgie thoracique, hôpital Pontchaillou, université de Rennes 1
  • B. Desrues Service de chirurgie thoracique, hôpital Pontchaillou, université de Rennes 1
  • S. Jouneau IRSET UMR 1085, université de Rennes 1

DOI:

https://doi.org/10.1007/s13546-015-1156-1

Keywords:

Child, Hemodynamics, Perfusion index, Pulse oximeter plethysmograph amplitude variation, Pulse oximetry

Abstract

Primary spontaneous pneumothorax (PSP) is common and affects young and active patients. Guidelines are accurate about diagnosis and treatment indications, but the initial optimal management remains unclear. Smoking is the main risk factor and smoking cessation must be systematically advised. If simple surveillance is acceptable for small PSP and/or paucisymptomatic patient with PSP, exsufflation or hospitalization with chest tube drainage remains the standard treatment in other situations. Ambulatory management is possible and could become the next standard of care.

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Published

2016-01-06

How to Cite

Salé, A., Thépault, F., Labalette, M., Kerjouan, M., De Latour, B., Desrues, B., & Jouneau, S. (2016). First Episode of Primary Spontaneous Pneumothorax: Who and How to Treat?. Médecine Intensive Réanimation, 25(1), 101–106. https://doi.org/10.1007/s13546-015-1156-1

Issue

Vol. 25 No. 1 (2016): Janvier 2016 / Respiratoire

Section

Update