JOURNAL READING

BTS Guidelines For The

Management of Spontaneous
Pneumothorax

dipresentasikan : Eustakia Y. Ega

Pena S. Ked
Pembimbing : dr. Alders A. K.
Nitbani, Sp.B

Surgery Department Nusa Cendana School of Medicine/Johannes

Hospital Kupang
2017
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Author(s) and Publishment

M Henry, Departement of Respiratory Medicine,

The General Infirmary at leeds, Great Gorge
Street, Leeds LS1 3EX, UK,
T Arnold, Medical Chest Unit , Castle Hill
Hospital, Cottingham, North Humberside, UK
J Harvey , Departement of Respiratory Medicine,
Southmead Hospital, Bristol BS10 5 NB, UK

British Thoracic Society

1. Introduction
Pneumothorax

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2. CLINICAL EVALUATION AND
IMAGING
Expiratory
A
CT
The
lateral
scanning
clinical
chest
chest
history
is or
recommended
radiographs
lateral
is not a reliable
are
when
notindicator
differentiating
recommended
of a

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Recommended algorithm for the treatment of primary
pneumothorax

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Arterial blood gas measurements are frequently abnormal in
patients with pneumothorax

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4. TREATMENT OPTIONS FOR
SPONTANEOUS PNEUMOTHORAX
4.1 Observasi

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4.2 Simple aspiration

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Large secondary

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4.2.1 Repeat aspiration and catheter
aspiration of simple pneumothorax

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4.3 Intercostal tube drainage

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If a chest tube for

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 Intercostal tube

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4.3.1 Complications of intercostal
tube drainage

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4.3.2 Size of tube

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4.4 Referal to respiratory
specialists

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4.4.1 Chest drain suction
High volume, low pressure (10 to 20 cm H2O)

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4.4.2 Chemical pleurodesis
Medical

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4.5 Referral to thoracic surgeons

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Indications for operative intervention

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4.5.1 Surgical strategies
There are two objectives in the surgical management of a

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Open thoracotomy

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Transaxillary minithoracotomy

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Video assisted thoracoscopic
surgery (VATS)
To date, there have only

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4.6 Discharge and follow up

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5. PNEUMOTORAKS DAN AIDS

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6. PNEUMOTHORAX AND CYSTIC
FIBROSIS
Early and aggressive treatment of

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7. TENSION PNEUMOTHORAX

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8. IATROGENIC PNEUMOTHORAX

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9. CONCLUDING REMARKS
Referral rates to physicians and surgeons and the timing of such referrals

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 Thank You,
May God Bless You