Management of Spontaneous Pneumothorax In ER of A Tertiary Care Hospital – An Observational Study.

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(B), Issue. (2)
First page: (78) Last page: (90)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:10.48165/ijabms.2020.22207

Management Of Spontaneous Pneumothorax In Er Of A Tertiary Care Hospital – An Observational Study.
Rakesh A Avaiya1, Harsha D Makwana2*, Ronak Joshi3 and Advait Thakor4
1Resident doctor of emergency medicine, 2Associate Professor, 3Resident doctor, 4Professor and HOD, Department of Emergency Medicine,SMT NHL Municipal Medical College, and svp Hospital Ahmedabad, Gujarat
Corresponding Author: Harsha D Makwana, Email: drharsham@gmail.com

Online Published on 02-July-2020

ABSTRACT

Introduction: Pneumothorax is an emergency having high mortality rate. Early recognition and management is crucial.Aim: To study the demographic data, clinical presentation, risk factor and management of cases of spontaneous pneumothorax presenting to ED.Material and Method: Observational analytical study done in 75 patients aged 20-74 years admitted at a tertiary care hospital from April 2018 to March 2019. Patients coming with spontaneous pneumothorx in ER were included in the study. History of trauma and iatrogenic causes were excluded.Result: Details about demographic data, clinical presentation, risk factor and management were recorded. Their main complaints were dyspnoea followed by chest pain. In our study out of 75 patients, ICD was inserted in 63 patients,7 patients managed with simple needle aspiration and 5 patients were treated conservatively. In our study 58 patients were shifted to E Ward/ICU, 8 patients were shifted to CT Sx ward, 5 patients shifted to ward, 3 patients took LAMA and 1 patient expired.Conclusion: In our study we found that SSP (secondary spontaneous pneumothorax) is more common than PSP (primary spontaneous pneumothorax) , majority of patients were male and COPD(chronic obstructive pulmonary diseases) is the commonest cause of the SSP. Intercostal tube drainage is the main mode of management.

Keywords

Spontaneous pneumothorax, chronic obstructive pulmonary disease, intercostal tube drainage

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