SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax
SPLF/SFMU/SRLF/SFAR/SFCTCV · 2023 · France
Source and licence
- Authors
- Stéphane Jouneau, Jean-Damien Ricard, Agathe Seguin-Givelet et al.
- Title
- SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax
- Journal
- Annals of Intensive Care, 2023
- Licence
- CC BY 4.0
- Changes
- Verbatim excerpts; formatting adapted
Full text retrieved 2026-10-27 from Europe PMC · PMC10509123
Licence statement of the original publication
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This page reproduces excerpts of the original publication; the original is authoritative. It has not been reviewed by a physician, does not state a recommendation of Medelix and does not replace medical advice. The guideline may have been updated since.
Open the original publication →Full text on Europe PMC
Recommendations
We found no explicitly labelled recommendations in this publication; its recommendations are in the running text of the original.
Abstract
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 ≥ 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.
Supplementary Information: The online version contains supplementary material available at 10.1186/s13613-023-01181-2.
Contents of the original publication
The section headings of the original.
- Introduction
- Method
- Summary of the results
- Definition of PSP
- Diagnosis of PSP and initial assessment
- Size of the pneumothorax
- Diagnostic imaging
- Therapeutic management of PSP
- Patient with sign(s) of immediate severity
- Patient without signs of immediate severity
- Small PSP without signs of immediate severity
- Analgesia for medically-treated PSP
- Specific cases
- Chest tube drainage
- Additional treatments in PSP
- Special cases of medical transport
- Place of surgery
- Post-PSP management
- Precautions after a first episode of PSP
- Unmet needs
- Conclusion
- Obituary
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