Year : 2018  |  Volume : 12  |  Issue : 2  |  Page : 137-142

Spontaneous pneumothorax: time to depart from the ‘chest tube underwater seal’?

1 Centre for Respiratory Medicine, Oxford University Hospitals, Oxford; Department of Chest Diseases, Faculty of Medicine, Alexandria University, Alexandria, UK
2 Department of Chest Diseases, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Correspondence Address:
Maged Hassan
Oxford Centre for Respiratory Medicine, Churchill Hospital, Old Road, Headington OX3 7LE, Oxford
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejb.ejb_58_17

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Initial management of spontaneous pneumothorax has traditionally been inserting a chest tube and attaching it to an underwater seal and hospitalizing the patient. New options have emerged that allow management to be on an outpatient basis without the need for hospitalization. These options are needle aspiration (similar to aspiration of effusion) or attaching the chest tube to a one-way valve. So, is chaining a patient with spontaneous pneumothorax to their hospital bed because of the heavy jar attached to the chest tube the most prudent way of management? This review attempts to answer this question.

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