@article{ref1,
title="Alternate therapy for traumatic pneumothorax in "pocket shooters"",
journal="Annals of emergency medicine",
year="1986",
author="Wisdom, K. and Nowak, R. M. and Richardson, H. H. and Martin, G. B. and Obeid, F. N. and Tomlanovich, M. C.",
volume="15",
number="4",
pages="428-432",
abstract="Traumatic pneumothorax is a common complication of the IV drug abusers in Detroit who utilize the &quot;pocket shot&quot; (the central approach to the internal jugular vein). Fourteen patients who sustained a total of 16 pneumothoraces (two with bilateral collapse) and who underwent catheter aspiration of a simple pneumothorax (CASP) were studied prospectively. The sizes ranged from less than 10% to 100%. In addition, there was one tension pneumothorax and one pneumomediastinum. The 16 CASP procedures produced 13 successful lung expansions (82%). The remaining three were treated with tube thoracostomy and admission. Twelve of the 13 patients in whom the procedure was successful returned for followup, and all of these had 100% continued full expansion. CASP appears to be a safe, efficacious, and cost-effective treatment for the drug abuser with simple traumatic pneumothorax. With the current pressures of cost containment, this less-invasive approach with outpatient management should be studied as initial potential treatment for any simple pneumothorax.<p /> <p>Language: en</p>",
language="en",
issn="0196-0644",
doi="",
url="http://dx.doi.org/"
}