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

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Thoracentesis with free drainage for 15 minutes Drainage at -25cm H20 for 30 minutes Clamping and radiograph; If failed, 2nd aspiration at -25cm H20 for 30 minutes, Repeat clamping and radiograph. First episode of primary and complete pneumothorax. If it fails again, chest tube placement and continuous drainage. Strange, C.,

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The RAMPP Trial: Randomised Ambulatory Management of Primary Pneumothorax

REBEL EM

Patients were observed for 1-2 hours for clinical stability, and placement was confirmed with a chest x-ray. The device was removed if there was sufficient reexpansion (<1cm of apical air on chest X-ray) and no air leak. 2001 Dec;18(6):565-8. Patients followed up every 1-2 days till day 4.