Management of Spontaneous Pneumothorax
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.
KeywordsPneumothorax Bleb Chest tube Tube thoracostomy Bullectomy Pleurodesis VATS