Abstract
Background : Pneumothorax is the accumulation of air within the pleural space, i.e within two layers of the pleura. It may occur spontaneously due to underlying lung pathology or due to trauma in various forms. Spontaneous pneumothorax is further classied into primary and secondary depending on the etiological ndings. Intercostals water sealed drainage system, commonly known as chest tube, are designed to remove air or uid from the pleural cavity which accumulates due to various etiologies and has been used for the management of pneumothorax for a long time. This is a retrospective observational study made on 50 p Methods : atients who presented with pneumothorax due to various causes and were managed by chest tube drainage in a tertiary care hospital. Results and observations : Of 50 patients, 46 patients (92%) had successful outcome. However the p-value came out to be 0.64 (> 0.05), hence the role of chest tube in primary management of pneumothorax is ruled out. The initial management of pneumothorax is conservative with observatio Conclusion : n and needle aspiration. Chest tube drainage should be considered only when conservative measures fail and clinical and radiological parameters suggest deterioration, since the more invasive method as primary treatment causes more complications
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