Schnell, Jost and Beer, Meinrad and Eggeling, Stephan and Gesierich, Wolfgang and Gottlieb, Jens and Herth, Felix J. F. and Hofmann, Hans-Stefan and Jany, Berthold and Kreuter, Michael and Ley-Zaporozhan, Julia and Scheubel, Robert and Walles, Thorsten and Wiesemann, Sebastian and Worth, Heinrich and Stoelben, Erich (2019) Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline. RESPIRATION, 97 (4). pp. 370-402. ISSN 0025-7931, 1423-0356
Full text not available from this repository. (Request a copy)Abstract
In Germany, 10,000 cases of spontaneous pneumothorax are treated inpatient every year. The German Society for Thoracic Surgery, in co-operation with the German Society for Pulmonology, the German Radiological Society, and the German Society of Internal Medicine has developed an S3 guideline on spontaneous pneumothorax and post-interventional pneumothorax moderated by the German Association of Scientific Medical Societies. Method: Based on the source guideline of the British Thoracic Society (2010) for spontaneous pneumothorax, a literature search on spontaneous pneumothorax was carried out from 2008 onwards, for post-interventional pneumothorax from 1960 onwards. Evidence levels according to the Oxford Center for Evidence-Based Medicine (2011) were assigned to the relevant studies found. Recommendations according to grade (A: "we recommend"/" we do notrecommend," B: "we suggest"/"we do not suggest") were determined in 3 consensus conferences by the nominal group process. Results: The algorithms for primary and secondary pneumothorax differ in the indication for CT scan as well as in the indication for chest drainage application and video-assisted thoracic surgery. Indication for surgery is recommended individually taking into account the risk of recurrence, life circumstances, patient preferences, and procedure risks. For some forms of secondary pneumothorax, a reserved indication for surgery is recommended. Therapy of post-interventional spontaneous pneumothorax is similar to that of primary spontaneous pneumothorax. Discussion: The recommendations of the S3 Guideline provide assistance in managing spontaneous pneumothorax and post-interventional pneumothorax. Whether this will affect existing deviant diagnostic and therapeutic measures will be demonstrated by future epidemiological studies. (C) 2018 S. Karger AG, Basel
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ASSISTED THORACIC-SURGERY; SECONDARY SPONTANEOUS PNEUMOTHORAX; RECURRENT SPONTANEOUS PNEUMOTHORAX; MINIMAL-INVASIVE SURGERY; CHEST TUBE PLACEMENT; PERSISTENT AIR-LEAK; OBSTRUCTIVE PULMONARY-DISEASE; RESPIRATORY-DISTRESS-SYNDROME; TRANSTHORACIC NEEDLE-BIOPSY; PERCUTANEOUS LUNG-BIOPSY; Primary spontaneous pneumothorax; Secondary spontaneous pneumothorax; Post-interventional pneumothorax |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Thoraxchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 21 Apr 2020 09:42 |
| Last Modified: | 21 Apr 2020 09:42 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27815 |
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