Condition
Pneumothorax is a collection of air or gas in the chest or pleural space that causes part or all of a lung to collapse. A primary (simple) pneumothorax occurs spontaneously, often in healthy, tall, slender young men (20-40 yrs.). However, the pathophysiology is uncertain. There is a 30-50% risk for recurrence of the condition. The condition is considered benign.
A secondary (complicated) spontaneous pneumothorax can occur in patients with underlying pulmonary disease (e.g. COPD, cystic fibrosis, pulmonary infection) is more serious and often life threatening.
A traumatic (tension) pneumothorax may follow a chest trauma, requiring immediate treatment by tube thoracostomy.
Individual at risk
DONOR
Guidance at RECRUITMENT
UNACCEPTABLE in case of repeated primary pneumothorax or a secondary pneumothorax in medical history.
Evaluate donor’s current condition and underlying condition after a (single time) primary pneumothorax or traumatic pneumothorax. ACCEPT if appropriate.
Guidance at CT/WORK-UP
PERMANENTLY DEFER in case of repeated primary pneumothorax or a secondary pneumothorax in medical history.
Evaluate donor’s current condition and underlying condition after a (single time) primary pneumothorax or traumatic pneumothorax. ACCEPT if appropriate.
Justification for guidance
A history of pneumothorax may confer an additional risk for a donor undergoing general anaesthetic or requiring central line insertion.