Pneumothorax

Medium urgency
-Moderately severe

Pneumothorax is the leaking of air from the lung into the virtual space between the lung and the ribs.

Depending on the etiology it is classified as either spontaneous or traumatic and depending on the size of the air leak as small, moderate or massive. When a massive pneumothorax compromises circulation it is known as tension pneumothorax and is considered a life-threatening emergency.

It manifests with shortness of breath, chest pain, dry cough and altered respiratory movements.

Diagnosis combines the collection of clinical history with physical examination and an imaging test.

Treatment will depend on the size of the air leak and on symptoms. In mild cases oxygen therapy and painkillers may be enough and in severe cases the accumulated air will need to be drained.

Bibliographic references
  1. Noppen M, De Keukeleire T. Pneumothorax. Respiration 2008; 76:121.
  2. Richard W Light, MD. Primary spontaneous pneumothorax in adults. UpToDate. Aug 25, 2016.
  3. Sahn SA, Heffner JE. Spontaneous pneumothorax. N Engl J Med 2000; 342:868.
  4. Guo Y, Xie C, Rodriguez RM, Light RW. Factors related to recurrence of spontaneous pneumothorax. Respirology 2005; 10:378.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    One side of the chest moves less than the other


    Chest pain increases when you breathe deeply


    Sharp stabbing chest pain


    Superficial breathing


    Short of breath

Pre-hospital care recommendations

Absolute rest until examined by a doctor.
Call medical assistance for instructions.