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Internal medicine journal · Oct 2023
CommentUpdate on the management of first episode primary spontaneous pneumothorax in an Australian hospital network.
- Christopher Chew, James Bartlett, and Anne-Maree Kelly.
- Respiratory Fellow, Victorian Respiratory Support Service, Austin Health, Melbourne, Victoria, Australia.
- Intern Med J. 2023 Oct 1; 53 (10): 190719101907-1910.
AbstractInternational guidelines and recent research favour a less interventional approach to primary spontaneous pneumothorax (PSP). A retrospective clinical audit of 68 first-episode PSP was undertaken at a major tertiary teaching hospital network in Melbourne, Australia, found that most patients presenting with a moderate to large pneumothorax received initial intercostal catheter insertion (56%), though many (81%) would have met criteria for consideration of conservative management. The results suggest continued deviation from clinical guidelines in the management of PSP.© 2023 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.
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