Spontaneous Pneumothorax

August 07, 2019

This podcast is an interactive discussion about the management of spontaneous pneumothorax between Dr. Todd Ponsky and Dr. Dan Ostlie.

Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626

Introduction (00:00)
Case Scenario: 16-year-old male with right-sided chest pain (01:24)
Historical Management of Spontaneous Pneumothorax (02:21)
What We Know Now (05:01)
Option of Immediate VATS (07:29)
Midwest Consortium (08:58)
Rationale of Aspiration (10:27)
Aspiration Study from Midwest Consortium (12:16)
Algorithm from the Aspiration Study (17:30)
Outcomes in Patients Discharged Home after Aspiration Alone (17:53)
How would you counsel a family based on this study? (20:18)
Technique for Aspiration (22:07)
Technical Considerations for VATS (22:57)
Is there a role for pleurodesis? (23:21)
Talc or Chemical Pleurodesis (24:55)
Role of CT (26:00)
Management of Multiply Recurrent Pneumothorax (27:22)
Small Recurrence after VATS with Pleurodesis (29:46)
Conclusion and Future Steps (31:16)
Teaser (32:48)