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  • Video
    Carron, Pierre-Nicolas; Hugli, Olivier; Pasquier, Mathieu.
    Video : NEJM
    N Engl J Med. 2013-05-09; 368:e24[video]
    "Needle aspiration is an alternative treatment to the placement of a chest tube for patients with a first episode of primary spontaneous pneumothorax. A careful preprocedural evaluation is needed to be certain that there are no contraindications. All patients should be monitored closely during the procedure. After the anatomical landmarks have been identified and the local anesthetic agent has been administered, the intrapleural air can be evacuated through a large-bore catheter. The success of the procedure is confirmed by clinical improvement and by a chest film showing no or minimal residual pneumothorax."