The aim of this study was to describe the management of pneumothorax in all Danish hospitals in general and to describe the use of simple aspiration in spontaneous pneumothorax in particular. None of the investigated patients had a simple aspiration performed.
In a recent study on patients with spontaneous pneumothorax from a Danish university hospital, we found that smaller chest tubes were superior to larger chest tubes inserted with a surgical technique. However, knowledge on practices in this area in Denmark is sparse. In Denmark, pulmonary physicians recommend small-sized chest tubes (≤ 14 Fr) placed with Seldinger technique (tube over guidewire), while surgeons recommend large-bore tubes (20-28 Fr) inserted with traditional small thoracotomy and digital exploration. Simple aspiration is only recommended in small-sized ( 2 cm), drainage with the use of a small size chest tube (≤ 14 Fr) is recommended. The British Thoracic Society and the Danish Lung Society encourage simple needle aspiration of air from the pleural cavity as the first choice for the vast majority of primary spontaneous pneumothoraxes. Guidelines on the management of pneumothorax depend on the type and size of the pneumothorax and of its symptoms, e.g. Primary spontaneons pneumothorax occurs in patients without pre-disposing lung disease and secondary spontaneous pneumothorax in patients with a predisposing lung disease, most commonly chronic obstructive pulmonary disease. It can be classified as traumatic, iatrogenic, primary spontaneous and secondary spontaneous. Pneumothorax is defined as air in the pleural cavity.
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