From
StayCurrentMD
Spontaneous Pneumothorax Rapid Fire: Update Course 2015
Chapter 1 of 4 · Acute Management
Initial management
Initial management of large spontaneous pneumothorax in adolescents
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Spontaneous Pneumothorax: Update Course 2014
15 min · Published Sep 2014
Video
Update Course Rewind: Spontaneous Pneumothorax 2021
Dr. Todd Ponsky · 8 min · Published Oct 2021
Video
Supine Positioning for Bilateral VATS: Pediatric Surgery Difficult...
15 min · Published Jul 2017
Video
Thoracoscopic Treatment of Spontaneous Pneumothorax
3 min · Published Feb 2020
Video
Tricks - Supine Positioning For Bilateral VATS
17 min · Published Nov 2018
Video
Empyema and Pneumothorax: Update Course 2014
31 min · Published Nov 2018
Video
Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
56 s · Published May 2026
Video
Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
Video
Pooling Patients to Study Rare Pediatric Tumors: An Introduction to PSORC
56 s · Published May 2026
Video
The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
44 s · Published May 2026
Video
Indocyanine green assists with sentinel lymph node mapping in pediatric and adolescent patients
1 min · Published May 2026
Video
Tricuspid valve surgery in transposition of the great arteries with a systemic right ventricle
46 s · Published May 2026
What the experts said
A 50% pneumothorax collapse actually represents 100% collapse because the lung cannot disappear
Recurrence rate after initial pneumothorax treatment is quoted as 30%
Pleurectomy causes significant postoperative pain with patients climbing out of the hospital
Simple thoracentesis in the emergency room with observation and discharge is being tested in a large surgical research clinical forum
Literature on thoracentesis shows lower recurrence rate than chest tube placement followed by home discharge
Adult literature does not support high rates of contralateral pneumothorax occurrence
Talc pleurodesis creates cement-like adhesions that make subsequent operations extremely difficult
A Korean study of 1400 patients across 11 hospitals randomized patients to bleb resection with fibrinogen glue coverage of staple line versus pleurodesis, showing no difference in recurrence rate
In the Korean study, at one year follow-up the fibrinogen glue group had 5.8% recurrence versus 8% recurrence in the pleurodesis group
A Beijing study of 300 patients comparing pleurodesis versus no pleurodesis showed no difference in outcomes