Canadian perspectiveOutpatient treatment of spontaneous pneumothorax in a community hospital using a heimlich flutter valve: A case series☆
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Cited by (22)
Ambulatory management of large spontaneous pneumothorax with pigtail catheters
2014, Annals of Emergency MedicineCitation Excerpt :The same group recently published a study of a series of 48 patients with a first episode of large primary spontaneous pneumothoraces treated with pigtail catheter and 1-way valve, in which 18 (37%) were treated as outpatients, with good efficiency and safety.6 Other studies with approximately 50 patients each have shown that ambulatory management of primary spontaneous pneumothoraces using small catheters connected to a 1-way valve is possible.7-10 We report here a series of 132 patients with both primary and secondary spontaneous pneumothoraces treated in an ambulatory setting with pigtail catheters.
Alternative treatments of pneumothorax
2013, Journal of Emergency MedicineCitation Excerpt :Studies done in the 1990s showed no significant difference in rates of re-expansion or complications between the thoracic vent device and tube thoracostomy, with a decrease in hospitalizations and cost (27,28). By treating pneumothoraces on an outpatient basis, hospital admissions and therefore costs are decreased, without a significant increase in complications or recurrence (28,29). Both BTS and ACCP guidelines recommend small-bore catheter with Heimlich valve for a spontaneous or iatrogenic pneumothorax that does not meet criteria for simple aspiration (patients with underlying lung disease or with “large pneumothorax”), or in the event of simple aspiration failure (5,6).
Diagnostic criteria and treatment of pneumothorax
2002, Archivos de BronconeumologiaManagement of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010
2010, ThoraxCitation Excerpt :Their optimal management is challenging and requires close medical and surgical liaison. Medical pleurodesis is an option for such patients, as is ambulatory management with the use of a Heimlich valve.86 All patients discharged after active treatment or otherwise should be given verbal and written advice to return to the Accident and Emergency department immediately should they develop further breathlessness.
Can spontaneous pneumothorax patients be treated by ambulatory care management?
2007, European Journal of Cardio-thoracic SurgerySafety and Efficacy of Manual Aspiration Via Small Bore Chest Tube in Facilitating the Outpatient Management of Transbronchial Biopsy-related Iatrogenic Pneumothorax
2021, Journal of Bronchology and Interventional Pulmonology
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Canadian Perspectives is coordinated by James Ducharme, md, of the Canadian Association of Emergency Physicians (CAEP) and St. John Regional Hospital, St. John, New Brunswick, Canada.