ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax.

Tschopp, Jean-Marie; Bintcliffe, Oliver; Astoul, Philippe; Canalis, Emilio; Driesen, Peter; Janssen, Julius; Krasnik, Marc; Maskell, Nicholas; Van Schil, Paul; Tonia, Thomy; Waller, David A; Marquette, Charles-Hugo; Cardillo, Giuseppe (2015). ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. European respiratory journal, 46(2), pp. 321-35. European Respiratory Society 10.1183/09031936.00219214

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Primary spontaneous pneumothorax (PSP) affects young healthy people with a significant recurrence rate. Recent advances in treatment have been variably implemented in clinical practice. This statement reviews the latest developments and concepts to improve clinical management and stimulate further research.The European Respiratory Society's Scientific Committee established a multidisciplinary team of pulmonologists and surgeons to produce a comprehensive review of available scientific evidence.Smoking remains the main risk factor of PSP. Routine smoking cessation is advised. More prospective data are required to better define the PSP population and incidence of recurrence. In first episodes of PSP, treatment approach is driven by symptoms rather than PSP size. The role of bullae rupture as the cause of air leakage remains unclear, implying that any treatment of PSP recurrence includes pleurodesis. Talc poudrage pleurodesis by thoracoscopy is safe, provided calibrated talc is available. Video-assisted thoracic surgery is preferred to thoracotomy as a surgical approach.In first episodes of PSP, aspiration is required only in symptomatic patients. After a persistent or recurrent PSP, definitive treatment including pleurodesis is undertaken. Future randomised controlled trials comparing different strategies are required.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Tonia, Thomai

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0903-1936

Publisher:

European Respiratory Society

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

27 Jul 2015 15:47

Last Modified:

25 May 2016 08:53

Publisher DOI:

10.1183/09031936.00219214

PubMed ID:

26113675

BORIS DOI:

10.7892/boris.70465

URI:

https://boris.unibe.ch/id/eprint/70465

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