SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax Endorsed by the French Speaking Society of Respiratory Diseases (SPLF), the French Soci- ety of Emergency Medicine (SFMU), the French Intensive Care Society (SRLF), the French Society of Anesthesia & Intensive Care Medicine (SFAR) and the French Society of Thoracic and Cardiovascular Surgery (SFCTCV)

被引：7

作者：

Jouneau, Stephane ^{[1
]}

Ricard, Jean-Damien ^{[2
]}

Seguin-Givelet, Agathe ^{[3
,4
]}

Bige, Naike ^{[5
]}

Contou, Damien ^{[6
]}

Desmettre, Thibaut ^{[7
]}

Hugenschmitt, Delphine ^{[8
]}

Kepka, Sabrina ^{[9
]}

Le Gloan, Karinne ^{[10
]}

Maitre, Bernard ^{[11
]}

Mangiapan, Gilles ^{[12
]}

Marchand-Adam, Sylvain ^{[13
]}

Mariolo, Alessio ^{[14
]}

Marx, Tania ^{[7
]}

Messika, Jonathan ^{[15
]}

Noel-Savina, Elise ^{[16
]}

Oberlin, Mathieu ^{[17
]}

Palmier, Ludovic ^{[18
]}

Perruez, Morgan ^{[19
]}

Pichereau, Claire ^{[20
]}

Roche, Nicolas ^{[21
]}

Garnier, Marc ^{[22
]}

Martinez, Mikael ^{[23
,24
]}

机构：

[1] Univ Rennes 1, Hop Pontchaillou, Ctr Competences Malad Plum Rares, Serv Pneumol,IRSET UMR 1085, 2 Rue Henri Guilloux, F-35033 Rennes 9, France

[2] Univ Paris Cite, Hop Louis Mourier, AP HP, DMU ESPRIT,Serv Med Intens Reanimat, 178 Rue Renouillers, F-92700 Colombes, France

[3] Inst Mutualiste Montsouris, Inst Thorax Curie Montsouris, Dept Chirurg, 42 Bd Jourdan, F-75014 Paris, France

[4] Univ Paris Sorbonne Cite, 42 Bd Jourdan, F-75014 Paris, France

[5] Gustave Roussy, Dept Interdisciplinaire Org Parcours Patient, Med Intens Reanimat, 114 Rue Edouard Vaillant, F-94805 Villejuif, France

[6] Ctr Hosp Victor Dupouy, Reanimat Polyvalente, 69 Rue Lieutenant Colonel Prudhon, F-95107 Argenteuil, France

[7] Univ Bourgogne Franche Comte, UMR 6249 Ctr Natl Rech Sci, Emergency Dept, Lab Chronoenvironm,CHU Besancon, 3 Bd Alexandre Fleming, F-25000 Besancon, France

[8] CHU Edouard Herriot, Hosp Civils Lyon, Samu Smur 69, 5 Pl Arsonval, F-69003 Lyon, France

[9] Hop Univ Strasbourg, Emergency Dept, Icube UMR 7357, 1 Pl Hop,BP 426, F-67091 Strasbourg, France

[10] Ctr Hosp Univ Nantes, Emergency Dept, 5 All Ile Gloriette, F-44000 Nantes, France

[11] Univ Paris Est Creteil, Ctr Hosp Intercommunal Creteil, Serv Pneumol, Unite Pneumol,GH Mondor,IMRB U955,Equipe 8, 40 Av Verdun, F-94000 Creteil, France

[12] Ctr Hosp Intercommunal Creteil, Serv Pneumol, Unite Pneumol Intervent, G ECHO Grp ECHOg Thorac, 40 Verdun, F-94000 Creteil, France

[13] CHRU Tours, Serv Pneumol & Explorat Resp Fonct, 2 Blvd Tonnelle, F-37000 Tours, France

[14] Inst Mutualiste Montsouris, Inst Thorax Curie Montsouris, Dept Chirurg, 42 Bd Jourdan, F-75014 Paris, France

[15] Univ Paris Cite, Hop Bichat, AP HP, Physiopathol & Epidemiol Malad Resp,Inserm,Serv Pn, 46 Rue Henri Huchard, F-75018 Paris, France

[16] CHU Toulouse, Serv Pneumol & Soins Intens Resp, G ECHO Grp ECHOg Thorac, 24 Chemin Pouvourville, F-31059 Toulouse, France

[17] Hop Univ Strasbourg, Emergency Dept, 1 Pl Hop,BP 426, F-67091 Strasbourg, France

[18] Nimes Univ Hosp, Pole Anesthesie Reanimat Douleur Urgences, 4 Rue Prof Robert Debre, F-30900 Nimes, France

[19] Hop Europeen Georges Pompidou, Emergency Dept, 20 Rue Leblanc, F-75015 Paris, France

[20] Ctr Hosp Intercommunal Poissy St Germain, Med Intens Reanimat, 10 Rue Champ Gaillard, F-78300 Poissy, France

[21] Ctr Univ Paris Cite, Hop Cochin, AP HP, Serv Pneumol,Inst Cochin,UMR1016,Inst Cochin, 27 Rue Faubourg St Jacques, F-75014 Paris, France

[22] Sorbonne Univ, Serv Anesthesie Reanimat & Med Peioperatoire Rive, AP HP, GRC29,DMU DREAM,Site Tenon, 4 Rue Chine, F-75020 Paris, France

[23] Ctr Hosp Forez, Pole Urgences, Av Monts du Soir, F-42600 Montbrison, France

[24] Grp Cooperat Sanit Urgences ARA, Ave Monts du Soir, F-42600 Montbrison, France

来源：

RESPIRATORY MEDICINE AND RESEARCH | 2023年 / 83卷

关键词：

Pneumothorax; Pleura; Outpatient; Minimally invasive; Chest tube; ASSISTED THORACOSCOPIC SURGERY; CHEST TUBE DRAINAGE; SMALL-BORE CATHETER; SECONDARY SPONTANEOUS PNEUMOTHORAX; CONTINUOUS PARAVERTEBRAL BLOCK; REEXPANSION PULMONARY-EDEMA; CRITICALLY-ILL PATIENTS; SIMPLE ASPIRATION; RISK-FACTORS; OUTPATIENT MANAGEMENT;

D O I：

10.1016/j.resmer.2023.100999

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Introduction: Primary spontaneous pneumothorax (PSP) is the presence of air in the pleural space, occurring in the absence of trauma and known lung disease. Standardized expert guidelines on PSP are needed due to the variety of diagnostic methods, therapeutic strategies and medical and surgical disciplines involved in its management. Methods: Literature review, analysis of literature according to the GRADE (Grading of Recommendation Assessment, Development and Evaluation) methodology; proposals for guidelines rated by experts, patients, and organizers to reach a consensus. Only expert opinions with strong agreement were selected. Results: A large PSP is defined as presence of a visible rim along the entire axillary line between the lung margin and the chest wall and & GE;2 cm at the hilum level on frontal chest x-ray. The therapeutic strategy depends on the clinical presentation: emergency needle aspiration for tension PSP; in the absence of signs of severity: conservative manage-ment (small PSP), needle aspiration or chest tube drainage (large PSP). Outpatient treatment is possible if a dedicated outpatient care system is previously organized. Indications, surgical procedures and perioperative analgesia are detailed. Associated measures, including smoking cessation, are described. Conclusion: These guidelines are a step towards PSP treatment and follow-up strategy optimization in France. & COPY; 2023 SPLF and Elsevier Masson SAS. All rights reserved.

引用

页数：18

共 26 条

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