Beside standard chest tube drainage other less invasive techniques have

been used in the management of patients with an acute episode of spontaneous

pneumothorax. The aim of the study was to evaluate the short term
effect of spontaneous pneumothorax treatment with small-bore pleural
catheter and manual aspiration as compared to large-bore chest tube
drainage. Patients with an episode of pneumothorax who required pleural
intervention were enrolled in the study and randomly assigned to one of
the treatment arms: (1) small-bore pleural catheter (8 Fr) with manual
aspiration; (2) standard chest tube drainage (20–24 Fr). Success rate of the
first line treatment, duration of catheter or chest tube drainage, and the
need for surgical intervention were the outcome measures. The study
group included 49 patients (mean age 46.9 _ 21.3 years); with 22 and
27 allocated to small bore manual aspiration and chest tube drainage
groups, respectively. There were no significant differences in the baseline
characteristics of patients in both therapeutic arms. First line treatment
success rates were 64 % and 82 % in the manual aspiration and chest tube
drainage groups, respectively; the difference was insignificant. Median
time of treatment with small bore catheter was significantly shorter than
conventional chest tube drainage (2.0 vs. 6.0 days; p < 0.05). Our results
show that treatment of spontaneous pneumothorax with small-bore pleural
catheter and manual aspiration might be similarly effective as is chest tube
drainage in terms of immediate lung re-expansion.

Selain Drainase Chest tube Standar teknik minimal invasif lainnya Telah digunakan dalam pengelolaan pasien dengan
episode akut spontan pneumotoraks. Tujuan penelitian ini adalah untuk mengevaluasi jangka pendek Efek pengobatan
pneumotoraks spontan dengan kateter pleura small-bore dan aspirasi manual dibandingkan dengan drainase chest tube besar.
Pasien dengan episode pneumotoraks yang membutuhkan Intervensi pleura dimasukkan dalam penelitian ini dan ditugaskan
secara acak ke salah satu dari pengobatan: (1) kateter pleura kecil (8 Fr) dengan manual aspirasi; (2) drainase tabung dada
standar (20-24 Fr). Tingkat keberhasilan pengobatan lini pertama, durasi kateter atau drainase tabung dada, dan Perlunya
intervensi bedah adalah ukuran hasil. Grup studi termasuk 49 pasien (usia rata-rata 46,9 21,3 tahun); dengan 22 dan 27
dialokasikan untuk aspirasi manual bor kecil dan drainase kelompok tabung dada, masing-masing. Tidak ada perbedaan yang
signifikan pada baseline karakteristik pasien di kedua lengan terapeutik. Pengobatan lini pertama tingkat keberhasilan adalah
64% dan 82% pada aspirasi manual dan tabung dada kelompok drainase; Perbedaannya tidak signifikan. Median Waktu
perawatan dengan kateter bore kecil secara signifikan lebih pendek daripada drainase tabung dada konvensional (2,0 vs 6,0
hari; p <0,05). Hasil kami Tunjukkan bahwa pengobatan pneumotoraks spontan dengan pleura small-bore kateter dan
aspirasi manual mungkin sama efektifnya seperti tabung dada drainase dalam hal ekspansi kembali paru-paru segera.