Management of spontaneous pneumothorax and post-interventional pneumothorax: German S3 guideline
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 spont...
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| Hauptverfasser: | , , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
April 2019
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| In: |
Respiration
Year: 2019, Jahrgang: 97, Heft: 4, Pages: 370-402 |
| ISSN: | 1423-0356 |
| DOI: | 10.1159/000490179 |
| Online-Zugang: | Verlag, Volltext: https://doi.org/10.1159/000490179 Verlag, Volltext: https://www.karger.com/Article/FullText/490179 
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| Verfasserangaben: | Jost Schnell, Meinrad Beer, Stephan Eggeling, Wolfgang Gesierich, Jens Gottlieb, Felix J. F. Herth, Hans-Stefan Hofmann, Berthold Jany, Michael Kreuter, Julia Ley-Zaporozhan, Robert Scheubel, Thorsten Walles, Sebastian Wiesemann, Heinrich Worth, Erich Stoelben |
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| 520 | |a 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. <b><i>Method:</i></b> 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 not recommend,” B: “we suggest”/“we do not suggest”) were determined in 3 consensus conferences by the nominal group process. <b><i>Results:</i></b> 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. <b><i>Discussion:</i></b> 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. | ||
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