Pneumothorax primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]


Effective measures for the primary prevention of pneumothorax include preventive measures during driving such as wearing seat belts and performing invasive procedures involving pleura under ultrasound guidance to prevent pleural damage.

Primary Prevention

Effective measures for the primary prevention of pneumothorax include:[1][2]

  • Wearing safety seat belts while driving.
  • Passive restraint devices should be used while driving.[3]
  • While cannulating the subclavian vein, infraclavicular approach should be preferred to avoid tension pneumothorax.[4][5][6]
  • All the surgical procedures that can rupture pleura such as transbronchial and transthoracic interventions should be performed under ultrasound guidance.


  1. Sharma A, Jindal P (2008). "Principles of diagnosis and management of traumatic pneumothorax". J Emerg Trauma Shock. 1 (1): 34–41. doi:10.4103/0974-2700.41789. PMC 2700561. PMID 19561940.
  2. Sauaia A, Moore FA, Moore EE, Moser KS, Brennan R, Read RA; et al. (1995). "Epidemiology of trauma deaths: a reassessment". J Trauma. 38 (2): 185–93. PMID 7869433.
  3. Milić J, Nikolić S, Mihailović Z (2002). "[Analysis of causes of death in long-term survivors of injuries sustained in traffic accidents]". Srp Arh Celok Lek. 130 (5–6): 149–53. PMID 12395433.
  4. Baumann MH, Noppen M (2004). "Pneumothorax". Respirology. 9 (2): 157–64. doi:10.1111/j.1440-1843.2004.00577.x. PMID 15182264.
  5. Haynes D, Baumann MH (2010). "Management of pneumothorax". Semin Respir Crit Care Med. 31 (6): 769–80. doi:10.1055/s-0030-1269837. PMID 21213209.
  6. Kornbau C, Lee KC, Hughes GD, Firstenberg MS (2015). "Central line complications". Int J Crit Illn Inj Sci. 5 (3): 170–8. doi:10.4103/2229-5151.164940. PMC 4613416. PMID 26557487.