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Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report

  • Woo, Won Gi (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Joo, Seok (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Lee, Geun Dong (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Haam, Seok Jin (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Lee, Sungsoo (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine)
  • Received : 2015.08.17
  • Accepted : 2015.10.01
  • Published : 2016.06.05

Abstract

Background: For treatment of pneumothorax in Korea, many institutions hospitalize the patient after chest tube insertion. In this study, a portable small-bore chest tube (Thoracic Egg; Sumitomo Bakelite Co. Ltd., Tokyo, Japan) was used for pneumothorax management in an outpatient clinic. Methods: Between August 2014 and March 2015, 56 pneumothorax patients were treated using the Thoracic Egg. Results: After Thoracic Egg insertion, 44 patients (78.6%) were discharged from the emergency room for follow-up in the outpatient clinic, and 12 patients (21.4%) were hospitalized. The mean duration of Thoracic Egg chest tube placement was 4.8 days, and the success rate was 73%; 20% of patients showed incomplete expansion and underwent video-assisted thoracoscopic surgery. For primary spontaneous pneumothorax patients, the success rate of the Thoracic Egg was 76.6% and for iatrogenic pneumothorax, it was 100%. There were 2 complications using the Thoracic Egg. Conclusion: Outpatient treatment of pneumothorax using the Thoracic Egg could be a good treatment option for primary spontaneous and iatrogenic pneumothorax.

Keywords

References

  1. Sahn SA, Heffner JE. Spontaneous pneumothorax. N Engl J Med 2000;342:868-74. https://doi.org/10.1056/NEJM200003233421207
  2. MacDuff A, Arnold A, Harvey J; BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010;65 Suppl 2:ii18-31.
  3. Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001;119:590-602. https://doi.org/10.1378/chest.119.2.590
  4. Kurihara M, Kataoka H, Ishikawa A, Endo R. Latest treatments for spontaneous pneumothorax. Gen Thorac Cardiovasc Surg 2010;58:113-9.
  5. Park SH, Shin YC, Chee HK, Kim EJ, Kim KI, Park JU. Efficacy of 12 Fr. closed thoracostomy drainage in management of primary spontaneous pneumothorax. Korean J Thorac Cardiovasc Surg 2004;37:983-6.
  6. Conces DJ Jr, Tarver RD, Gray WC, Pearcy EA. Treatment of pneumothoraces utilizing small caliber chest tubes. Chest 1988;94:55-7. https://doi.org/10.1378/chest.94.1.55
  7. Peters J, Kubitschek KR. Clinical evaluation of a percutaneous pneumothorax catheter. Chest 1984;86:714-7. https://doi.org/10.1378/chest.86.5.714
  8. Ho KK, Ong ME, Koh MS, Wong E, Raghuram J. A randomized controlled trial comparing minichest tube and needle aspiration in outpatient management of primary spontaneous pneumothorax. Am J Emerg Med 2011;29:1152-7. https://doi.org/10.1016/j.ajem.2010.05.017
  9. Karasaki T, Shintomi S, Nomura Y, Tanaka N, Saito H, Yoshida Y. Outcomes of outpatient treatment for primary spontaneous pneumothorax using a small-bore portable thoracic drainage device. Thorac Cardiovasc Surg 2014;62:516-20.

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