Outpatient management of primary spontaneous pneumothorax
The outpatient management of primary spontaneous pneumothorax (PSP) is still debated. The risk of a tension pneumothorax is used to justify active treatment like chest-tube drainage, although outpatient management can reduce both the time in hospital and the cost of treatment. It is also likely to b...
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| Veröffentlicht in: | Respiratory medicine 2021-01, Vol.176, p.106240-106240, Article 106240 |
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| container_title | Respiratory medicine |
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| creator | Jouneau, Stéphane Vuillard, Constance Salé, Alexandre Bazin, Yann Sohier, Laurent Kerjouan, Mallorie Ricard, Jean-Damien Messika, Jonathan |
| description | The outpatient management of primary spontaneous pneumothorax (PSP) is still debated. The risk of a tension pneumothorax is used to justify active treatment like chest-tube drainage, although outpatient management can reduce both the time in hospital and the cost of treatment. It is also likely to be the patient's choice. This report is a reappraisal of the situations for which outpatient management, by monitoring alone, or using minimally invasive techniques, can be considered.
•While exclusive outpatient care of PSP is the exception, more and more studies provide evidences supporting such management.•Minimally invasive techniques are easy of use, and their related adverse events are scarce.•In some conditions, the air need not be evacuated from the pleural space; the decision should be based on the patient's clinical tolerance.•Ambulatory management of PSP are only safe if the patient clearly understands the issues involved and follows a rigorous monitoring protocol. |
| doi_str_mv | 10.1016/j.rmed.2020.106240 |
| format | Article |
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•While exclusive outpatient care of PSP is the exception, more and more studies provide evidences supporting such management.•Minimally invasive techniques are easy of use, and their related adverse events are scarce.•In some conditions, the air need not be evacuated from the pleural space; the decision should be based on the patient's clinical tolerance.•Ambulatory management of PSP are only safe if the patient clearly understands the issues involved and follows a rigorous monitoring protocol.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2020.106240</identifier><identifier>PMID: 33248364</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Catheters ; Chest tubes ; Conservative strategies ; Hospitalization ; Intervention ; Life Sciences ; Management ; Needle aspiration ; One-way valve ; Outpatient management ; Patients ; Physicians ; Pneumothorax ; Primary spontaneous pneumothorax ; Respiratory diseases ; Success</subject><ispartof>Respiratory medicine, 2021-01, Vol.176, p.106240-106240, Article 106240</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020. Published by Elsevier Ltd.</rights><rights>Copyright Elsevier Limited Jan 2021</rights><rights>Attribution - NonCommercial</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-d45562dc4f70f5d8b28aab9c7799ee8fceb5bb27ff4ae298547ac756ce91aea63</citedby><cites>FETCH-LOGICAL-c462t-d45562dc4f70f5d8b28aab9c7799ee8fceb5bb27ff4ae298547ac756ce91aea63</cites><orcidid>0000-0002-1949-3461</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0954611120303802$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33248364$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03041114$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Jouneau, Stéphane</creatorcontrib><creatorcontrib>Vuillard, Constance</creatorcontrib><creatorcontrib>Salé, Alexandre</creatorcontrib><creatorcontrib>Bazin, Yann</creatorcontrib><creatorcontrib>Sohier, Laurent</creatorcontrib><creatorcontrib>Kerjouan, Mallorie</creatorcontrib><creatorcontrib>Ricard, Jean-Damien</creatorcontrib><creatorcontrib>Messika, Jonathan</creatorcontrib><title>Outpatient management of primary spontaneous pneumothorax</title><title>Respiratory medicine</title><addtitle>Respir Med</addtitle><description>The outpatient management of primary spontaneous pneumothorax (PSP) is still debated. The risk of a tension pneumothorax is used to justify active treatment like chest-tube drainage, although outpatient management can reduce both the time in hospital and the cost of treatment. It is also likely to be the patient's choice. This report is a reappraisal of the situations for which outpatient management, by monitoring alone, or using minimally invasive techniques, can be considered.
•While exclusive outpatient care of PSP is the exception, more and more studies provide evidences supporting such management.•Minimally invasive techniques are easy of use, and their related adverse events are scarce.•In some conditions, the air need not be evacuated from the pleural space; the decision should be based on the patient's clinical tolerance.•Ambulatory management of PSP are only safe if the patient clearly understands the issues involved and follows a rigorous monitoring protocol.</description><subject>Catheters</subject><subject>Chest tubes</subject><subject>Conservative strategies</subject><subject>Hospitalization</subject><subject>Intervention</subject><subject>Life Sciences</subject><subject>Management</subject><subject>Needle aspiration</subject><subject>One-way valve</subject><subject>Outpatient management</subject><subject>Patients</subject><subject>Physicians</subject><subject>Pneumothorax</subject><subject>Primary spontaneous pneumothorax</subject><subject>Respiratory diseases</subject><subject>Success</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kT9v2zAQxYkiQeO6_QIdAgNZkkEu_xwpEehiBEldwECWdCYo6tTIsESVlIz024eC7AwdOpG4-93Du3uEfGV0zShT3_br0GK15pRPBcWBfiALJgXPBFVwQRZUS8gUY-yKfIpxTynVAPQjuRKCQyEULIh-GofeDg12w6q1nf2N7fT19aoPTWvD31XsfTfYDv0YV32HY-uHFx_s62dyWdtDxC-nd0l-PT4832-z3dOPn_ebXeZA8SGrQErFKwd1TmtZFSUvrC21y3OtEYvaYSnLkud1DRa5LiTk1uVSOdTMolViSe5m3Rd7MCdTxtvGbDc7M9WooJB2hCNL7O3M9sH_GTEOpm2iw8Nh9m84KAmQUxAJvfkH3fsxdGmTRBWFFAy0TBSfKRd8jAHrdweMmikEszdTCGYKwcwhpKHrk_RYTr3zyPnqCfg-A5judmwwmOhSAg6rJqAbTOWb_-m_AaObl1A</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Jouneau, Stéphane</creator><creator>Vuillard, Constance</creator><creator>Salé, Alexandre</creator><creator>Bazin, Yann</creator><creator>Sohier, Laurent</creator><creator>Kerjouan, Mallorie</creator><creator>Ricard, Jean-Damien</creator><creator>Messika, Jonathan</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-1949-3461</orcidid></search><sort><creationdate>202101</creationdate><title>Outpatient management of primary spontaneous pneumothorax</title><author>Jouneau, Stéphane ; 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The risk of a tension pneumothorax is used to justify active treatment like chest-tube drainage, although outpatient management can reduce both the time in hospital and the cost of treatment. It is also likely to be the patient's choice. This report is a reappraisal of the situations for which outpatient management, by monitoring alone, or using minimally invasive techniques, can be considered.
•While exclusive outpatient care of PSP is the exception, more and more studies provide evidences supporting such management.•Minimally invasive techniques are easy of use, and their related adverse events are scarce.•In some conditions, the air need not be evacuated from the pleural space; the decision should be based on the patient's clinical tolerance.•Ambulatory management of PSP are only safe if the patient clearly understands the issues involved and follows a rigorous monitoring protocol.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>33248364</pmid><doi>10.1016/j.rmed.2020.106240</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-1949-3461</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Catheters Chest tubes Conservative strategies Hospitalization Intervention Life Sciences Management Needle aspiration One-way valve Outpatient management Patients Physicians Pneumothorax Primary spontaneous pneumothorax Respiratory diseases Success |
| title | Outpatient management of primary spontaneous pneumothorax |
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