meta_pixel
Tapesearch Logo
Log in
Emergency Medicine Cases

Journal Jam 2: Small Bore Chest Tube and Outpatient Management of Pneumothorax

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 9 December 2014

⏱️ 34 minutes

🧾️ Download transcript

Summary

It makes sense that the treatment of primary spnontaneous pneumothorax would lend itself well to outpatient management, since patients are usually young and otherwise healthy, and the mortality and morbidity from these air leaks are really very low. Most patients would rather be managed as an outpatient rather than admitted to hospital and sending these patients home would probably end up saving the system resources and money. In this month's Journal Jam Podcast on small bore chest tube and outpatient management of pneumothorax, the highlighted article that Anton Helman and Teresa Chan discuss is Voison et al. on the “Ambulatory Management of Large Spontaneous Pneumothorax With Pigtail Catheters.” We hear from Michelle Lin, Seth Trueger, Heather Murray and the lead author himself, Stephan Jouneau. Questions posed include: In what ways is the use of small bore catheters with Heimlich valves for spontaneous pneumothorax better than needle aspiration? Is it necessary to repeat a CXR after placement of the catheter? Who should follow up these patients after they are discharged from the hospital? How can we minimize kinking and dislodgement of the catheter? and many more..... [wpfilebase tag=file id=523 tpl=emc-play /] [wpfilebase tag=file id=524 tpl=emc-mp3 /]

Transcript

Click on a timestamp to play from that location

0:00.0

I'm Anton Helman.

0:06.6

And I'm Teresa Chair.

0:08.5

And this is the Journal Jam podcast,

0:12.3

where we blend interviews with leading researchers

0:15.1

of important emergency medicine journal articles.

0:17.5

With the annals of emergency medicine

0:19.6

and academic life in emergency medicine, joint global emergency medicine journal articles. With the annals of emergency medicine and academic life in emergency medicine,

0:22.4

joint global emergency medicine journal.

0:25.1

And the best of crowdsourced social media-based opinions of emergency medicine providers

0:29.8

from around the world.

0:32.7

In this month's journal jam podcast, we're going to be talking about outpatient management

0:37.3

of pneumothoroses. The paper that going to be talking about outpatient management of pneumothorcese.

0:38.9

The paper that we'll be talking about in particular is entitled ambulatory management of large

0:44.2

spontaneous pneumothorces with pigtail catheters, and this is a study out of France with the lead

0:49.8

author Fannie Voisin. Now, it makes sense that the treatment of primary spontaneous pneumothorax would lend itself

0:57.8

well to ambulatory management, since patients are usually young and otherwise healthy, and the

1:02.9

mortality and morbidity from these air leaks are really very low.

1:07.2

Most patients would rather be managed as an outpatient rather than admitted to hospital,

1:11.0

and sending home these patients will probably end up saving the system resource and money.

1:16.1

So, Anton, I think that one of the things that we know for sure is that for asymptomatic patients

1:20.3

who have a small pneumothorax, we know what to do with those.

1:23.5

The British Therastic Society, the American College of Chess Physicians, and their guidelines

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Dr. Anton Helman, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Dr. Anton Helman and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2026.