TITLE

Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis

AUTHOR(S)
Aguinagalde, Borja; Zabaleta, Jon; Fuentes, Marta; Bazterargui, Nerea; Hernández, Carlos; Izquierdo, José Miguel; Pijuan, José Ignacio; Emparanza, José Ignacio
PUB. DATE
May 2010
SOURCE
European Journal of Cardio-Thoracic Surgery;May2010, Vol. 37 Issue 5, p1129
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Summary: Spontaneous pneumothorax is an extremely frequent pathology. Despite this, there is still no clear consensus on managing these patients. Therefore, we perform a systematic review and meta-analysis of the effectiveness of percutaneous aspiration compared with tube drainage for treating idiopathic spontaneous pneumothorax. Controlled, randomised clinical trials were selected, in which the effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission. Relevant articles were identified by searching electronic databases (e.g., Medline, EMBASE, CENTRAL, mRCT and Pascal), as well as the references of the papers found in this manner, with a cut-off date of April 2009. Quality was assessed by two independent evaluators, using the CASPe appraisal tool. Effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission.
ACCESSION #
50372251

 

Related Articles

  • Simple aspiration suffices for majority of patients with moderate pneumothorax. Dale, David C.; Federman, Daniel D. // Cortlandt Forum;06/25/97, Vol. 10 Issue 6, p24 

    Reports that simple aspiration suffices for majority of patients with moderate pneumothorax. Effect of allowing the collapsed lung to expand fully again and of preventing recurrences.

  • Role of Manual Aspiration in Treating Pneumothorax after Computed Tomography-Guided Lung Biopsy. Yamagami, T.; Terayama, K.; Yoshimatsu, R.; Matsumoto, T.; Miura, H.; Nishimura, T. // Acta Radiologica;Dec2009, Vol. 50 Issue 10, p1126 

    Background: Pneumothorax is the most common complication after computed tomography (CT)-guided lung biopsy. The presence of a pneumothorax per se does not complicate patient management, but an increasing pneumothorax, making chest tube placement necessary, is highly problematic. Purpose: To...

  • Neuroendoscopic Surgery versus External Ventricular Drainage Alone or with Intraventricular Fibrinolysis for Intraventricular Hemorrhage Secondary to Spontaneous Supratentorial Hemorrhage: A Systematic Review and Meta-Analysis. Li, Yuping; Zhang, Hengzhu; Wang, Xiaodong; She, Lei; Yan, Zhengcun; Zhang, Nan; Du, Renfei; Yan, Kaixuan; Xu, Enxi; Pang, Lujun // PLoS ONE;Nov2013, Vol. 8 Issue 11, p1 

    Background and Purpose:Although neuroendoscopy (NE) has been applied to many cerebral diseases, the effect of NE for intraventricular hemorrhage (IVH) secondary to spontaneous supratentorial hemorrhage remains controversial. The purpose of this study was to analyze the effect of NE compared with...

  • Evaluating systematic reviews in urology: A practical guide. Tharyan, Prathap // Indian Journal of Urology;Jul-Sep2007, Vol. 23 Issue 3, p224 

    Systematic reviews of good quality randomized controlled trials that have little heterogeneity (variability) are considered to provide the best source of evidence for the efficacy of interventions in healthcare. With the recent national provision for access to The Cochrane Library to all...

  • Care and nursing management of a child with a chest drain. Crawford, Doreen // Nursing Children & Young People;Dec2011, Vol. 23 Issue 10, p27 

    Caring for and managing an infant or a child with a chest drain may cause the children's nurse some anxiety because, although the management is relatively simple, there is potential for disconnection of the equipment, re-accumulation of the pneumothorax and complications - such as pain and...

  • Comparison of Videothroracoscopy and Axillary Thoracotomy for the Treatment of Spontaneous Pneumothorax. Miller, John D.; Simone, Carmine; Kahnamoui, Kam; Thomas, Jackie; Bennett, William F.; Young, James E.M.; Urschel, John D. // American Surgeon;Nov2000, Vol. 66 Issue 11, p1014 

    Surgical treatment of spontaneous pneumothorax can be done through a thoracotomy or a videothoracoscopic approach. Although the videothoracoscopic technique is currently popular it is not obviously superior to a more traditional axillary thoracotomy approach. We compared our recent experience...

  • Thin Chest Wall Is an Independent Risk Factor for the Development of Pneumothorax after Chest Tube Removal. Anand, Rahul J.; Whelan, James F.; Ferrada, Paula; Duane, Therese M.; Malhotra, Ajai K.; Aboutanos, Michel B.; Ivatury, Rao R. // American Surgeon;Apr2012, Vol. 78 Issue 4, p478 

    The factors contributing to the development of pneumothorax after removal of chest tube thoracostomy are not fully understood. We hypothesized that development of post pull pneumothorax (PPP) after chest tube removal would be significantly lower in those patients with thicker chest walls, due to...

  • Prospective Randomized Comparison of Ultrasound‑Guided Percutaneous Needle Aspiration with Percutaneous Catheter Drainage of Liver Abscesses. Singh, Paramdeep; Tapasvi, Chaitanya; Kaur, Rupinderjeet; Aggarwal, Simmi; Nagpal, Nitin; Kaur, Rashmeet // Journal of Medical Science;Mar/Apr2019, Vol. 39 Issue 2, p67 

    Background and Aims: Modern treatment of liver abscesses comprises combination of antibiotics and image‑guided percutaneous needle aspiration (PNA) or percutaneous catheter drainage (PCD). However, there is debate regarding the choice of these interventions as the first line of...

  • Treatment of clinical aspiration: A reappraisal. WAYBRIGHT, RYAN A.; COOLIDGE, WILLIAM; JOHNSON, THOMAS J. // American Journal of Health-System Pharmacy;8/1/2013, Vol. 70 Issue 15, p1291 

    Purpose. The treatment of clinical aspiration is reviewed. Summary. The common definition of aspiration is the inhalation of oropharyngeal or gastric contents into the larynx and lower respiratory tract. Pulmonary aspiration frequently occurs in both the hospital and community settings and can...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics