© 2000 the Emergency Medicine Journal
Review
Current opinions and practices in the treatment of spontaneous pneumothorax
Department of Accident and Emergency, Prince of Wales Hospital, Chinese University of Hong Kong
Correspondence to:
Correspondence to: Dr Chan, Senior Medical Officer/Adjunct Assistant Professor, Department of Accident and Emergency, Prince of Wales Hospital, 30–32 Ngan Shing Street, Shatin, NT, Hong Kong (e-mail: saukau{at}netvigator.com)
The approach to the initial management of spontaneous pneumothorax differs markedly from centre to centre, and it is difficult in practice to establish a standard protocol. This article reviews the concepts behind the British Thoracic Society guidelines, and reports the varying opinions and alternative practices existing currently. There is a need for more evidence-based studies to identify what is the best approach. Based on a review of relevant recent reports, the author attempts to work out an unbiased practical approach that can be used safely and that can possibly give the best overall cost effective results.
Keywords: spontaneous pneumothorax; management; guidelines
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