Spontaneous And Iatrogenic Pneumothorax

William Franklin Young, Jr. Roger Loyd Humphries

Spontaneous .Pneumothorax

Epidemiology pathophysiology

Clinical.Features

Diagnosis

Treatment

Disposition

Iatrogenic.. .Pneumothorax Chapter., References

Pneumothorax occurs when air enters the potential space between the visceral and parietal pleura. The cause may be blunt trauma, penetrating trauma, or spontaneous. Iatrogenic pneumothorax occurs secondary to a diagnostic or therapeutic procedure and is really a subset of penetrating traumatic pneumothorax. Primary spontaneous pneumothorax (PSP) occurs in individuals without known lung disease and accounts for two-thirds of spontaneous pneumothoraces. Secondary spontaneous pneumothorax (SSP) occurs in patients with underlying lung disease, especially chronic obstructive pulmonary disease. Emergency department evaluation and management of pneumothorax center on immediate management of complications such as tension pneumothorax or ventilatory failure, eliminating the intrapleural air, optimizing pleural healing, and preventing recurrences.

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