Ambulatory management of primary spontaneous pneumothorax

The management of primary spontaneous pneumothorax (PSP) is currently being debated. The British Thoracic Society (BTS) guidelines [1] are over a decade old and recent European Respiratory Society (ERS) guidance [2] summarises more up-to-date evidence. Needle aspiration, intercostal drain insertion...

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Published in:Breathe (Lausanne, Switzerland) Switzerland), 2021-06, Vol.17 (2), p.200342-200342
Main Authors: Duffy, Aleksandra, Ward, Janice, Malvika, Bhatnagar, Aujayeb, Avinash
Format: Article
Language:English
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Summary:The management of primary spontaneous pneumothorax (PSP) is currently being debated. The British Thoracic Society (BTS) guidelines [1] are over a decade old and recent European Respiratory Society (ERS) guidance [2] summarises more up-to-date evidence. Needle aspiration, intercostal drain insertion (ICD) and observation are all advocated. Ambulatory pneumothorax management has been described for decades [3]. A systematic review of underpowered and nonrandomised trials suggested a need for high quality data to support the use of ambulatory devices in pneumothorax management [3]. Thus, the Randomised Ambulatory Management of Primary Pneumothorax (RAMPP) trial was devised [4]. The trial aimed to compare the length of hospitalisation and safety of ambulatory management with standard care (needle aspiration±ICD insertion) [5]. We aim to describe the outcomes of RAMPP. We discuss its general relevance and in the context of the recent trial favouring conservative management over an interventional approach in PSP [6]. Ambulatory pneumothorax management in primary spontaneous pneumothorax is safe and feasible https://bit.ly/39w3EfD
ISSN:1810-6838
2073-4735
DOI:10.1183/20734735.0342-2020