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Study protocol for a randomised controlled trial of invasive versus conservative management of primary spontaneous pneumothorax

2016; BMJ; Volume: 6; Issue: 9 Linguagem: Inglês

10.1136/bmjopen-2016-011826

2044-6055

Simon G.A. Brown, Emma L Ball, Kyle Perrin, Catherine Read, Stephen Asha, Richard Beasley, Diana Egerton‐Warburton, Peter Jones, Gerben Keijzers, Frances B. Kinnear, Ben C.H. Kwan, Gary Lee, Julian A. Smith, Quentin Summers, Graham Simpson,

Trauma Management and Diagnosis

Current management of primary spontaneous pneumothorax (PSP) is variable, with little evidence from randomised controlled trials to guide treatment. Guidelines emphasise intervention in many patients, which involves chest drain insertion, hospital admission and occasionally surgery. However, there is evidence that conservative management may be effective and safe, and it may also reduce the risk of recurrence. Significant questions remain regarding the optimal initial approach to the management of PSP.