Conservative management of spontaneous pneumothorax.

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Conservative management of spontaneous pneumothorax.

In recent years many authors have advocated prompt active treatment for spontaneous pneumothorax in the belief that patients treated in this way recover more quickly and suffer fewer relapses (Lenox-Smith, 1962; Smith and Rothwell, 1962; Hamel, Briggs, and Schulkins, 1963). The material on which this attitude is based is very often related to hospital admissions only and does not reflect the ov...

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Management of spontaneous pneumothorax.

Management of patients with a spontaneous pneumothorax continues to challenge clinicians. Recent guidelines help provide care pathways for these patients and highlight the many areas in need of additional study. Management options for spontaneous pneumothoraces should be selected based primarily upon a patient's clinical status. Observation or pleural air drainage, in selected patients, plays a...

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Management of spontaneous pneumothorax.

Spontaneous pneumothorax occurring In the apparently healthy individual was first named and described by Itard’ in 1803. In 1826 Laennec2 accurately described the occurrence of such a phenomenum, and following McDowell3 in 1856, who described the condition In a tuberculous patient, the etiology was accepted as tuberculous in the majority of cases until Kjaergaard4 (1932 and 1933) revealed that ...

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The management of spontaneous pneumothorax.

In 1932 Kjaergaard corrected the universally held belief that spontaneous pneumothorax was usually a manifestation of active tuberculosis. To-day the pathology of the condition is well understood but there is no general agreement about therapy. In the literature, the treatment varies from the extremely conservative, with bed-rest alone in most cases (Vail, Alway, and England, 1960; Hyde, 1963),...

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Study protocol for a randomised controlled trial of invasive versus conservative management of primary spontaneous pneumothorax

INTRODUCTION Current management of primary spontaneous pneumothorax (PSP) is variable, with little evidence from randomised controlled trials to guide treatment. Guidelines emphasise intervention in many patients, which involves chest drain insertion, hospital admission and occasionally surgery. However, there is evidence that conservative management may be effective and safe, and it may also r...

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ژورنال

عنوان ژورنال: Thorax

سال: 1966

ISSN: 0040-6376

DOI: 10.1136/thx.21.2.145