A pneumothorax is a collection of gas in the pleural space that results in a variable amount of lung collapse on the affected side. By definition, spontaneous pneumothoraces occur in the absence of any trauma including iatrogenic causes to the chest wall. Primary spontaneous pneumothoraces occur in people with no underlying lung pathology. Secondary spontaneous pneumothoraces occur in patients with pre-existing lung parenchymal or pleural pathology e. NB: the British Thoracic Society automatically considers long term smokers aged over 50 years to have secondary pneumothoraces.
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Similar articles BTS guidelines for the management of spontaneous pneumothorax. Henry M, et al. No abstract available. Pneumothorax: an update. Currie GP, et al. Postgrad Med J. Current therapy of catamenial pneumothorax. Tripp HF, et al. Heart Surg Forum. PMID: Can chest ultrasonography assess pleurodesis after VATS for spontaneous pneumothorax? Leo F, et al. Eur J Cardiothorac Surg.
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Management of Spontaneous Pneumothorax: British Thoracic Society Pleural Disease Guideline 2010
Pneumothorax EBM Guidelines. Essentials Tension pneumothorax must be identified and treated immediately. In addition to chest pain and breathing difficulties, its symptoms include tachycardia, cyanosis, distended blood vessels on the neck and hypotension. Consider spontaneous pneumothorax as a cause for acute chest pain and dyspnoea in young smokers as well as in patients with chronic obstructive pulmonary disease. Classification Primary spontaneous pneumothorax Occurs in persons with otherwise healthy lungs. Usually a rupture of a pulmonary alveolus in the apex of the lung causes an air leak. Occurs most frequently in men aged 20—40 years and in tall, thin persons.