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Management of Spontaneous Pneumothorax

  • Shannon R. Kotch
  • Matthew D. TaylorEmail author
Chapter

Abstract

Spontaneous pneumothorax should be included in the differential diagnosis for patients who present with acute onset of chest pain and shortness of breath. Imaging should be obtained to confirm the diagnosis. Treatment, including placement of a tube thoracostomy, is guided by the hemodynamic stability of the patient and the size of the pneumothorax. Subsequent surgical management is directed toward the cause of the pneumothorax based on the likelihood of recurrence.

Keywords

Pneumothorax Bleb Chest tube Tube thoracostomy Bullectomy Pleurodesis VATS 

References

  1. 1.
    van Berkel V, Kuo E, Meyers BF. Pneumothorax, bullous disease, and emphysema. Surg Clin North Am. 2010;90(5):935–53.  https://doi.org/10.1016/j.suc.2010.06.008.CrossRefPubMedGoogle Scholar
  2. 2.
    Baumann MH, Strange C, Heffner JE, Light R, Kirby TJ, Klein J, Luketich JD, Panacek EA, Sahn SA, AACP Pneumothorax Consensus Group. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest. 2001;119(2):590–602.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of General SurgeryPenn State Health Milton S. Hershey Medical CenterHersheyUSA
  2. 2.Department of SurgeryPenn State Health Milton S. Hershey Medical CenterHersheyUSA
  3. 3.Division of Thoracic SurgeryPenn State Health Milton S. Hershey Medical CenterHersheyUSA

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