article thumbnail

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

REBEL EM

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. Absence of residual pneumothorax or the presence of an apical residual pneumothorax smaller than 2 cm, based on chest radiography.