Is Radiological Reporting of ‘Tension’ in Spontaneous Pneumothorax Driving Unnecessary Intervention?

IF 1.7 4区 医学 Q2 EMERGENCY MEDICINE
Anne Maree Kelly, Roland Bammer, Y. C. Gary Lee, Julian A. Smith, Ethan Bacon, Diana Egerton-Warburton
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引用次数: 0

Abstract

Decompensated (aka tension) primary spontaneous pneumothorax (PSP) is extremely rare. There is no published evidence that conservative treatment of stable patients with radiological features of so-called ‘tension’ (e.g., tracheal deviation and mediastinal shift) results in adverse outcomes. There is also preliminary evidence that these features do not correlate with significant clinical instability. However, anecdotally, clinicians report being uncomfortable not providing interventional treatment for stable PSP patients with radiological features of tension, in part for fear of litigation. This article addresses current evidence and guidelines and the likely medicolegal implications of treatment options for clinically stable PSP patients with these radiological features.

自发性气胸的“张力”放射学报告是否会导致不必要的干预?
失代偿性(又名张力)原发性自发性气胸(PSP)极为罕见。目前尚无已发表的证据表明,对具有所谓“张力”放射学特征(如气管偏曲和纵隔移位)的稳定患者进行保守治疗会导致不良后果。也有初步证据表明这些特征与显著的临床不稳定性无关。然而,有趣的是,临床医生报告说,不为有放射学特征的稳定的PSP患者提供介入治疗是不舒服的,部分原因是害怕诉讼。本文阐述了目前的证据和指南,以及对具有这些放射学特征的临床稳定的PSP患者的治疗选择可能的医学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Emergency Medicine Australasia
Emergency Medicine Australasia 医学-急救医学
CiteScore
3.70
自引率
13.00%
发文量
217
审稿时长
6-12 weeks
期刊介绍: Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
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