The Resus Room Spontaneous Pneumothorax; Roadside to Resus
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Oct 16, 2023 This podcast explores the new guidelines for spontaneous pneumothoraces, focusing on patient-centered management. It covers the pathophysiology, presentation, and management options for spontaneous pneumothorax. The hosts discuss the changes in BTS guidelines, highlighting the benefits of conservative management. They also delve into the assessment and management of patients, including the role of needle decompression for tension pneumothorax. The podcast concludes with a discussion on ongoing trials challenging current practice.
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Patient-Centred BTS Guideline
- The new BTS guideline shifts focus from pneumothorax size to clinical state, risk features and patient priorities.
- This creates a more nuanced, evidence-based approach to management at the bedside.
Maze Trick From Childhood
- Simon shared a childhood tip about escaping Ragley Hall maze by keeping your left hand on the wall.
- The story lightens the episode and illustrates how a simple rule can guide you through complexity.
Oxygen Speeds Reabsorption Modestly
- High-flow oxygen can increase pneumothorax reabsorption roughly two-to-fourfold by lowering alveolar nitrogen partial pressure.
- The absolute speed gain is modest, so oxygen is used for physiology not rapid radiological clearance.