University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Emergency Medicine


Dr. Thomas Colletti, DHSc, PA-C


Primary spontaneous pneumothorax (PSP) is a significant global health concern and medical emergency in otherwise healthy young adults. However, initial management of PSP has variable and inconsistent recommendations. Treatment of PSP centers on conservative treatment options versus need of intervention, such as tube thoracostomy or video-assisted thoracoscopic surgery (VATS). Evidence to whether conservative management options ultimately depend on the size of the pneumothorax and condition of the patient. Effective conservative treatment for PSP compared to immediate tube thoracostomy or further surgical intervention can assist the clinician in deciding an appropriate first-line treatment modality. In the clinical setting, providing this evidence to the patient can improve shared decision making by properly informing the patient of all options. The evidence reported validates the choice of surgical intervention for first-line treatment of PSP, therefore reducing risk for recurrence in these otherwise healthy individuals.


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