Presence of free air in the intrapleural space
Spontaneous pneumothorax is due to atraumatic rupture of alveolus, bronchiole, or bleb.
Primary spontaneous pneumothorax (2/3 of incidenc...
Severity of symptoms is generally proportional to size of the pneumothorax.
Chest pain on the ipsilateral side:
Sharp, pleuritic pain
Dull ache in delayed p...
Oxygen 100% via nonrebrea...
Chest tube required
<15% collapse, no expansion while in the ED or successful aspiration with catheter removed:
Delay in chest decompression in the unstable patient leading to rapid hemodynamic compromise
Avoid poor tube placement involving kinks or improper depth, which may necessitate repea...
Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: An American College of Chest Physicians Delphi consensus statement. Chest. 2001;119:590–60...
512.0 Spontaneous tension pneumothorax
512.81 Primary spontaneous pneumothorax
512.89 Other pneumothorax
512.1 Iatrogenic pneumothorax
512.82 Secondary spontaneous pneumothorax
860.0 Traumatic pn...
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