This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (31)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Experience With 114 Patients

Ralph E. Delius, MD; Farouck N. Obeid, MD; H. Mathilda Horst, MD; Victor J. Sorensen, MD; John J. Fath, MD; Brack A. Bivins, MD

Arch Surg. 1989;124(7):833-836.

Abstract
• Between 1983 and 1987, 114 adult patients with 131 pneumothoraces were treated utilizing catheter aspiration for simple pneumothorax as an alternative to tube thoracostomy. The causes of simple pneumothorax were as follows: 79 needleinduced, 36 spontaneous, and 16 traumatic. Thirty-eight of the pneumothoraces were small (<20% of volume), 55 were moderate (20% to 40% of volume), 36 were large (>40% of volume), and 2 were of unknown size. Overall, catheter aspiration for simple pneumothorax was successful in 90 patients (69%). The success rate was 75% with needle-induced, 53% with spontaneous, and 75% with traumatic pneumothoraces. Small pneumothoraces were successfully managed with catheter aspiration for simple pneumothorax in 87% of patients, moderate-sized in 60%, and large in 61%. There were three complications (2.3%), including one hemothorax and two retained sheared catheter tips. The average cost per patient was $868 for catheter aspiration, and $6402 for a tube thoracostomy. These data support catheter aspiration as a safe, cost-effective, and successful technique for managing simple pneumothorax.

(Arch Surg. 1989;124:833-836)

Author Affiliations
From the Division of Trauma and Critical Care Surgery, Henry Ford Hospital, Detroit, Mich.

Footnotes
Accepted for publication March 11, 1989.

Read before the 96th Annual Meeting of the Western Surgical Association, San Diego, Calif, November 15, 1988.

Reprint requests to Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202 (Dr Obeid).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Simple sequential treatment for primary spontaneous pneumothorax: one step closer.
Henry
Eur Respir J 2006;27:448-450.
FULL TEXT  

Simplified stepwise management of primary spontaneous pneumothorax: a pilot study.
Marquette et al.
Eur Respir J 2006;27:470-476.
ABSTRACT | FULL TEXT  

CT-guided Transthoracic Needle Aspiration Biopsy of Pulmonary Nodules: Needle Size and Pneumothorax Rate
Geraghty et al.
Radiology 2003;229:475-481.
ABSTRACT | FULL TEXT  

BTS guidelines for the management of spontaneous pneumothorax
Henry et al.
Thorax 2003;58:ii39-52.
FULL TEXT  

Manual Aspiration versus Chest Tube Drainage in First Episodes of Primary Spontaneous Pneumothorax: A Multicenter, Prospective, Randomized Pilot Study
Noppen et al.
Am. J. Respir. Crit. Care Med. 2002;165:1240-1244.
ABSTRACT | FULL TEXT  

Management of spontaneous pneumothorax: are British Thoracic Society guidelines being followed?
Mendis et al.
Postgrad. Med. J. 2002;78:80-84.
ABSTRACT | FULL TEXT  

Pneumothorax
Weissberg and Refaely
Chest 2000;117:1279-1285.
ABSTRACT | FULL TEXT