SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax

被引：7

作者：

Jouneau, Stephane ^{[1
]}

Ricard, Jean-Damien ^{[2
]}

Seguin-Givelet, Agathe ^{[3
,4
]}

Bige, Naike ^{[5
]}

Contou, Damien ^{[6
]}

Desmettre, Thibaut ^{[7
]}

Hugenschmitt, Delphine ^{[8
]}

Kepka, Sabrina ^{[9
]}

Le Gloan, Karinne ^{[10
]}

Maitre, Bernard ^{[11
]}

Mangiapan, Gilles ^{[12
]}

Marchand-Adam, Sylvain ^{[13
]}

Mariolo, Alessio ^{[14
]}

Marx, Tania ^{[7
]}

Messika, Jonathan ^{[15
]}

Noel-Savina, Elise ^{[16
]}

Oberlin, Mathieu ^{[17
]}

Palmier, Ludovic ^{[18
]}

Perruez, Morgan ^{[19
]}

Pichereau, Claire ^{[20
]}

Roche, Nicolas ^{[21
]}

Garnier, Marc ^{[22
]}

Martinez, Mikael ^{[23
,24
]}

机构：

[1] Univ Rennes 1, Serv Pneumol, Ctr Competences Malad Pulm Rares, Hop Pontchaillou,UMR 1085,IRSET, 2 Rue Henri Le Guilloux, F-35033 Rennes 9, France

[2] Univ Paris Cite, Serv Med Intens Reanimat, Hop Louis Mourier, AP HP,INSERM IAME U1137,DMU ESPRI, 178 Rue Renouillers, F-92700 Colombes, Paris, France

[3] Inst Mutualiste Montsouris, Inst Thorax Curie Montsouris, Thorac Surg Dept, 42 Bd Jourdan, F-75014 Paris, France

[4] Univ Paris Sorbonne Cite, 42 Bd Jourdan, F-75014 Paris, France

[5] Gustave Roussy, Dept Interdisciplinaire Org Parcours Patient, Med Intens Reanimat, 114 Rue Edouard Vaillant, F-94805 Villejuif, France

[6] Ctr Hosp Victor Dupouy, Reanimat Polyvalente, 69 Rue Lieutenant Colonel Prudhon, F-95100 Argenteuil, France

[7] Univ Bourgogne Franche Comte, Emergency Dept, Lab Chrono Environm, Ctr Natl Rech Sci,UMR 6249,CHU Besancon, 3 Bd Alexandre Fleming, F-25000 Besancon, France

[8] Hosp Civils Lyon, CHU Edouard Herriot, Samu Smur 69,5 Pl Arsonval, F-69003 Lyon, France

[9] Hop Univ Strasbourg, Emergency Dept, Icube UMR 7357, 1 Pl hop,BP 426, F-67091 Strasbourg, France

[10] Ctr Hosp Univ Nantes, Emergency Dept, 5 All Ile Gloriette, F-44000 Nantes, France

[11] Univ Paris Est Creteil, Ctr Hosp Intercommunal Creteil, Serv Pneumol, Unite Pneumol,GH Mondor,IMRB U 955, Equipe 8,40 Av Verdun, F-94000 Creteil, France

[12] Ctr Hosp Intercommunal Creteil, Serv Pneumol, Unite Pneumol Intervent, G ECHO Grp ECHOg Thorac, 40 Av Verdun, F-94000 Creteil, France

[13] CHRU Tours, Serv Pneumol & Explorat Respiratoires Fonct, 2 Blvd Tonnelle, F-37000 Tours, France

[14] Inst Mutualiste Montsouris, Inst Thorax Curie Montsouris, Dept Chirurg, 42 Bd Jourdan, F-75014 Paris, France

[15] Univ Paris Cite, Serv Pneumol B & Transplantat Plum, Hop Bichat, AP HP,Inserm,Physiopathol & Epidemiol Malad Resp, 46 Rue Henri Huchard, F-75018 Paris, France

[16] CHU Toulouse, Serv Pneumol & Soins Intens Resp, G ECHO Grp ECHOg Thorac, 24 Chemin Pouvourville, F-31059 Toulouse, France

[17] Hop Univ Strasbourg, Emergency Dept, 1 Pl Hop,BP 426, F-67091 Strasbourg, France

[18] Nimes Univ Hosp, Pole Anesthesie Reanimat Douleur Urgences, 4 Rue Prof Robert Debre, F-30029 Nimes, France

[19] Hop Europeen Georges Pompidou, Emergency Dept, 20 Rue Leblanc, F-75015 Paris, France

[20] Ctr Hosp Intercommunal Poissy St Germain, Med Intens Reanimat, 10 Rue Champ Gaillard, F-78300 Poissy, France

[21] Univ Paris Cite, Inst Cochin, Hop Cochin, APHP Ctr,Serv Pneumol,UMR1016, 27 Rue Faubourg St Jacques, F-75014 Paris, France

[22] Sorbonne Univ, Hop Tenon, AP HP, GRC29,DMU DREAM,Serv Anesthesie Reanimat & Med, Site Tenon,4 Rue Chine, F-75020 Paris, France

[23] Ctr Hosp Forez, Pole Urgences, Av Monts Soir, F-42605 Montbrison, France

[24] Grp Cooperat Sanit Urgences ARA, Av Monts Soir, F-42600 Montbrison, France

来源：

ANNALS OF INTENSIVE CARE | 2023年 / 13卷 / 01期

关键词：

Pneumothorax; Pleura; Outpatient; Minimally invasive; Chest tube; ASSISTED THORACIC-SURGERY; CHEST TUBE DRAINAGE; SMALL-BORE CATHETER; SECONDARY SPONTANEOUS PNEUMOTHORAX; CONTINUOUS PARAVERTEBRAL BLOCK; REEXPANSION PULMONARY-EDEMA; CRITICALLY-ILL PATIENTS; THORACOSCOPIC SURGERY; SIMPLE ASPIRATION; RISK-FACTORS;

D O I：

10.1186/s13613-023-01181-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Introduction Primary spontaneous pneumothorax (PSP) is the presence of air in the pleural space, occurring in the absence of trauma and known lung disease. Standardized expert guidelines on PSP are needed due to the variety of diagnostic methods, therapeutic strategies and medical and surgical disciplines involved in its management. Methods Literature review, analysis of the literature according to the GRADE (Grading of Recommendation, Assessment, Development and Evaluation) methodology; proposals for guidelines rated by experts, patients and organizers to reach a consensus. Only expert opinions with strong agreement were selected. Results A large PSP is defined as presence of a visible rim along the entire axillary line between the lung margin and the chest wall and & GE; 2 cm at the hilum level on frontal chest X-ray. The therapeutic strategy depends on the clinical presentation: emergency needle aspiration for tension PSP; in the absence of signs of severity: conservative management (small PSP), needle aspiration or chest tube drainage (large PSP). Outpatient treatment is possible if a dedicated outpatient care system is previously organized. Indications, surgical procedures and perioperative analgesia are detailed. Associated measures, including smoking cessation, are described. Conclusion These guidelines are a step towards PSP treatment and follow-up strategy optimization in France.

引用

页数：25

共 217 条

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