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The Needle Vs. The Knife for Spontaneous Pneumothorax: A Closer Look at the EXPRED Study

REBEL EM

PMID: 36693146 Clinical Question: In patients aged 18-50 years with primary and complete pneumothorax, is simple aspiration non-inferior to chest tube drainage for rates of pulmonary re-expansion within 24 hours? Recruitment from only emergency departments may not represent the broader clinical context. Am J Respir Crit Care Med.

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The RAMPP Trial: Randomised Ambulatory Management of Primary Pneumothorax

REBEL EM

PMID: 32622394 Clinical Question: Can ambulatory management of patients with primary spontaneous pneumothorax reduce the length of hospitalization? Patients were observed for 1-2 hours for clinical stability, and placement was confirmed with a chest x-ray. 2001 Dec;18(6):565-8. Paper: Hallifax RJ et al. 2020;396(10243):39-49.