Eligibility

Trial population

The target population will be adults up to and including 50 years of age with symptomatic PSP of sufficient size and symptoms causing the treating physician to consider intervention.

Local study conflicts

None

Inclusion Criteria:

Patients will be eligible for the trial if ALL of the following apply:
Symptomatic PSP of sufficient size to allow intervention
Age between 16 and 50 years old (inclusive)

PSP is defined as a pneumothorax occurring in the absence of trauma and underlying lung disease. An upper age cut off of 50 years of age was selected, as patients above this age are more likely to have underlying lung disease as a cause for their pneumothorax (i.e. secondary and not primary pneumothorax).

Exclusion Criteria:

Evidence of clinical tension pneumothorax
SpO2 <92% on air
Bilateral pneumothorax
Pregnancy
Inability to consent or comply with trial requirements.
Known or suspected underlying lung disease:
- Patients with a diagnosis of asthma who are on regular preventer medication or a history of ever having been admitted to hospital for asthma are excluded. Patients who do not use any medication, or only occasional 'reliever' medication would still be eligible.

If the patient is eligible:

Inform the patient that they may be eligible for the CONSEPT study and that research team will come and speak to them.

Gain verbal agreement in principle before proceeding. Explain:

Taking part in research is likely to improve the quality of their care
Risks are carefully controlled - research is safe
Explain the uncertainty that exists with respect to treatment of their condition;
If they change their mind they can withdraw their participation at any point

Step-by-Step Guide to Recruitment:

In the working hours of the research team:

Monday-Tuesday 07:30 – 20:00
Wednesday 07:30- 18:00

Let us know about the patient on Contact details:
Mobile 0776818242
Tel 01865 222003
Bleep 6680
Send a message to the Pneumothorax Studies WhatsApp Group both In hours and Out of Hours.

Out of hours and weekends:

Page still under construction below here

Consenting the patient formally

Steps to consent and document it
If capacity/no capacity are different; get the framework from comited in emerg-sci.web.app
etc

Gather documentation

Randomisation steps

Randomisation procedure

Randomisation steps

Carrying out the intervention:

[steps undertaken]

Disposition and follow-up:

If admitted:

Any required information

If discharged:

Any required information

Links for further information:

Link to trial site Link to trial site

Link to local training