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Eur J Cardiothorac Surg 2007;31:491-495. doi:10.1016/j.ejcts.2006.12.011
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Can spontaneous pneumothorax patients be treated by ambulatory care management?

^a Department of Emergency Medicine, College of Medicine, Korea University, Seoul, South Korea
^b Korea University Ansan Hospital, Ansan, Gyeonggi-Do, South Korea
^c Korea University Anam Hospital, Seoul, South Korea
^d Korea University Guro Hospital, Seoul, South Korea

Received 2 November 2006; received in revised form 7 December 2006; accepted 12 December 2006.

^_* Corresponding author. Address: Emergency Department, Korea University Guro Hospital, 80 Guro 2-Dong, Guro-Gu, Seoul 152-703, South Korea. Tel.: +822 818 6286; fax: +822 818 6284. (Email: kuedchoi{at}korea.ac.kr).

Objective: In the Emergency Department, it would be worthwhile to treat pneumothorax patients on an outpatient basis by utilizing a small-calibre catheter and Heimlich valve insertion. We evaluated this treatment and compared it with the closed thoracostomy. Methods: In this comparative study, the success rate, complications and recurrence rate of treating spontaneous pneumothorax patients by using a small-calibre catheter and Heimlch valve were compared with those of a similar-sized group treated by closed thoracostomy. Results: Pneumothorax was successfully treated on an ambulatory basis by using the small-calibre catheter and Heimlch valve in 20 patients (47%); this was less than the 42 patients (89%) who were successfully treated by closed thoracostomy. While no complications were encountered in the group treated using the small-calibre catheter and Heimlich valve, 11 patients in the group treated by closed thoracostomy developed complications. The medical expenses for the treatment involving the small-calibre catheter and Heimlich valve were less than those for closed thoracostomy. Conclusion: Prior to the treatment, the patients should be fully informed of the success rate of this treatment and the possibility of requiring closed thoracostomy in the event of treatment failure.

Key Words: Pneumothorax • Thoracostomy • Emergencies • Outpatients • Crowding

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