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
