Spontaneous Pneumothorax

This podcast is an interactive discussion about the management of spontaneous pneumothorax between Dr. Todd Ponsky and Dr. Dan Ostlie. Dr. Ostlie is Surgeon-in-Chief, Chair of Surgery, and Executive Vice-President at Phoenix Children’s Hospital, and has helped carry out multiple studies looking at the optimal way to manage spontaneous pneumothorax in pediatric patients. 00:00:00:00 Introduction 00:01:24:19 Case Scenario: 16-year-old male with right-sided chest pain 00:02:21:12 Historical Management of Spontaneous Pneumothorax 00:05:01:18 What We Know Now 00:07:29:03 Option of Immediate VATS 00:08:58:07 Midwest Consortium 00:10:27:03 Rationale of Aspiration 00:12:16:03 Aspiration Study from Midwest Consortium 00:17:30:26 Algorithm from the Aspiration Study 00:17:53:20 Outcomes in Patients Discharged Home after Aspiration Alone 00:20:18:14 How would you counsel a family based on this study? 00:22:07:23 Technique for Aspiration 00:22:59:07 Technical Considerations for VATS 00:23:21:21 Is there a role for pleurodesis? 00:24:55:15 Talc or Chemical Pleurodesis 00:26:00:17 Role of CT 00:27:22:16 Management of Multiply Recurrent Pneumothorax 00:29:46:27 Small Recurrence after VATS with Pleurodesis 00:31:16:24 Conclusion and Future Steps 00:32:48:23 Teaser Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626