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How would you approach a stable 3 cm iatrogenic pneumothorax in an asymptomatic patient?

By stable, meaning that it looks similar on chest X rays 4 hours apart.
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How would you manage a stable 3 cm iatrogenic pneumothorax in an asymptomatic patient?

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2 Answers
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Pulmonology · University of Maryland Medical School
Answered on

I think it is quite reasonable to continue to monitor in this situation. I probably would take comorbidities and reliability into consideration to decide if this is someone I would admit to the hospital VS follow up as outpatient.

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Pulmonology · Cedars Sinai Medical Center
Answered on

Most iatrogenic pneumothorax after bronchoscopy resolve without intervention. If asymptomatic and without radiographic evidence of developing tension physiology close monitoring while on 100% O2 is appropriate without intervention unless the patient becomes symptomatic or develops signs of tension p...

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