Conservative versus Interventional Treatment for Spontaneous Pneumothorax

Conservative versus Interventional Treatment for Spontaneous Pneumothorax

Bottom line

Conservative management of stable unilateral, spontaneous primary pneumothorax, is not inferior to Seldinger drain, with lower risk of serious adverse events.

Majority of patient with unilateral primary spontaneous pneumothorax is safe for conservative management and discharge at 4 hrs, after a repeat CXR

High fragility index due to lost to follow-up means data is not statistically robust

Continue reading

Lab Case 343

80 year old male known diabetic, re-presents to ED after a recent admission in which the patient was diagnosed with TB. According to the wife the patient has been home for 2 days. Over the last 24 hours his oral intake has declined and he has become less responsive.

Continue reading