Annals of Emergency Medicine
Update: Is Needle Aspiration Better Than Chest Tube Placement for the Management of Primary Spontaneous Pneumothorax?
Keegan Tupchong, MD, RDMS (EBEM Commentator)
Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD
Chest tube placement is successful more often than needle aspiration in the treatment of primary spontaneous pneumothorax, yet is associated with longer hospital length of stay and potentially more adverse events. Therefore, both needle aspiration and chest tube placement are reasonable first-line options, depending on individual patient preferences and circumstances.