Pneumothorax

Causes

Presentation

Sudden onset breathlessness, dull central chest pain.

Tension pneumothorax

Also distressed, shocked.

Treatment

If 10% or less on CXR then analgesia. Resorbs at 1% per day. Look for underlying cause: if none then send home. Follow up in 14 days with repeat CXR.

Tension pneumothorax

Largest cannula into 2nd intercostal space, midclavicular line. Chest drain.

Prophylaxis

After one: 20% recurrence.
After two: 50% recurrence.
After three: 80% recurrence.
Pleurodesis medical or surgical.