Eligibility
Local study conflicts
- None
Inclusion Criteria:
- ≥ 18 years old
- The pneumothorax is of sufficient size and symptoms for the treating physician to consider intervention with ICD, AND
- The patient has a spontaneous secondary pneumothorax; i.e.a pneumothorax occurring in a patient with one of:
- Known underlying lung disease OR
- ≥ 50 years of age with significant smoking history OR
- With suspected underlying lung disease with radiology confirming structural lung disease.
Exclusion Criteria:
- Bilateral pneumothorax
- Traumatic or iatrogenic pneumothorax
- Clinical concerns of tension pneumothorax
- Age < 18 years of age
- Known pregnancy
If the patient is eligible:
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 standard working hours; Monday-Friday 07:30-16:30
- Contact the Trauma Hub on 07889 476009
Out of hours and weekends:
Consenting the patient formally
- Collect pack from the PrinceSSP box behind the workstation in resus
- Patients with capacity - use Participant Information Sheet and Consent Form
- Patients without capacity can be auto-enrolled (decided by 2 medical professions)
Randomisation procedure
- Login into PrinceSSP randomisation site details are on the lid of the PrinceSSP box.
- Follow randomisation either ICD or Needle aspiration
- Document in the notes and place completed paperwork into the brown envelope in the PrinceSSP box