csh600- Literature review

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Description of the Condition:

Primary spontaneous pneumothorax (PSP) is defined as unwanted accumulation of gas or air between the lungs or pleural cavity. Usually cause is unidentifiable for spontaneous pneumothorax and occurs without any underlying lung disease and it is usually the very first occurrence of a pneumothorax (Lush, 2010).

In some cases, PSP can lead to partial or complete collapse of the lungs which can put you in emergency due to dyspnoea.

PSP is most likely to be occurred in young people aged 15-34 years. Smoking can also put you at a high risk of PSP due to poor lung condition.

Signs and Symptoms of onset PSP include severe sudden pain in the chest which gets worse with inspiration and is accompanied by cough, sweating and shortness of breath ( PSP 2020).

Most commonly used treatments for PSP include chest tube drainage or manual aspiration depending on the region of the world.

After diagnosis Most, common treatments for PSP involves manual aspiration/needle aspiration and chest tube drainage where manual aspiration is more efficient.

Description of the intervention : 

Hospital intervention is needed for the treatment of primary spontaneous pneumothorax to take out the trapped air in the pleural cavity.

Manual Aspiration also known as needle aspiration is a thin tube which is introduced into the pleural cavity to draw out the air. Manual aspiration is usually efficient and the procedure requires 30 minutes in average if no complications occur

How the intervention might work : Target intervention is manual aspiration which is used as first line treatment in many parts of the world for PSP. The target is to take out the air stuck in the pleural cavity, eliminate recurrence and to reduce hospital admissions. Lidocaine is used as an anaesthetic to numb the area where insertion is later carried out. Xray is usually used to check the success of the procedure. Furthermore, Patients do not usually have to be monitored by health professionals after the procedure so they are free to go to their residence and can follow up via outpatients. (Luh, 2010)

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