دورية أكاديمية
Recommandations formalisées d’experts pour la prise en charge des pneumothorax spontanés primaires
| العنوان: | Recommandations formalisées d’experts pour la prise en charge des pneumothorax spontanés primaires |
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| المؤلفون: | Jouneau, S., Ricard, J.-D., Seguin-Givelet, A., Bigé, N., Contou, D., Desmettre, T., Hugenschmitt, D., Kepka, S., Le Gloan, K., Maître, B., Mangiapan, G., Marchand-Adam, S., Mariolo, A., Marx, T., Messika, J., Noël-Savina, E., Oberlin, M., Palmier, L., Perruez, M., Pichereau, C., Roche, N., Garnier, M. |
| المساهمون: | Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique EHESP (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), École des Hautes Études en Santé Publique EHESP (EHESP), Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou |
| المصدر: | ISSN: 2108-6524 ; Annales françaises de médecine d'urgence ; https://hal.science/hal-04148557Test ; Annales françaises de médecine d'urgence, 2023, 13 (1), pp.25-58. ⟨10.3166/afmu-2022-0472⟩. |
| بيانات النشر: | HAL CCSD Springer |
| سنة النشر: | 2023 |
| المجموعة: | Université de Rennes 1: Publications scientifiques (HAL) |
| مصطلحات موضوعية: | [SDV]Life Sciences [q-bio] |
| الوصف: | International audience ; Introduction: Primary spontaneous pneumothorax (PSP) is the presence of air in the pleural space, occurring in the absence of trauma and known lung disease. Standardized expert guidelines on PSP are needed due to the variety of diagnostic methods, therapeutic strategies and medical and surgical disciplines involved in its management. Methods: Literature review, analysis of literature according to the GRADE (Grading of Recommendation Assessment, Development and Evaluation) methodology; proposals for guidelines rated by experts, patients, and organizers to reach a consensus. Only expert opinions with strong agreement were selected. Results: A large PSP is defined as presence of a visible rim along the entire axillary line between the lung margin and the chest wall and superior or equal to 2 cm at the hilum level on frontal chest x-ray. The therapeutic strategy depends on the clinical presentation: emergency needle aspiration for tension PSP; in the absence of signs of severity: conservative management (small PSP), needle aspiration or chest tube drainage (large PSP). Outpatient treatment is possible if a dedicated outpatient care system is previously organized. Indications, surgical procedures and perioperative analgesia are detailed. Associated measures, including smoking cessation, are described. Conclusion: These guidelines are a step towards PSP treatment and follow-up strategy optimization in France. ; Introduction : Le pneumothorax spontané primaire (PSP) est un épanchement gazeux dans la cavité pleurale, survenant hors traumatisme et pathologie respiratoire connue. Des recommandations formalisées d'experts sur le sujet sont justifiées par les pluralités de moyens diagnostiques, stratégies thérapeutiques et disciplines médicochirurgicales intervenant dans leur prise en charge. Méthodes : Revue bibliographique, analyse de la littérature selon méthodologie GRADE (Grading of Recommendation Assessment, Development and Evaluation) ; propositions de recommandations cotées par experts, ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-04148557; https://hal.science/hal-04148557Test |
| DOI: | 10.3166/afmu-2022-0472 |
| الإتاحة: | https://doi.org/10.3166/afmu-2022-0472Test https://hal.science/hal-04148557Test |
| رقم الانضمام: | edsbas.34832938 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3166/afmu-2022-0472 |
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