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The term pneumothorax was first coined by Itard, a student of Laennec, in 1803
Laennec described the clinical picture of pneumothorax in 1819
He described most pneumothoraces as occurring in patients with pulmonary tuberculosis, although he recognised that pneumothoraces also occurred in otherwise healthy lungs, a condition he described as “pneumothorax simple”
Simple aspiration is recommended as first line treatment for all PSP requiring intervention
Simple aspiration is less likely to succeed in secondary pneumothoraces and in this situation, is only recommended as an initial treatment in small (<2 cm) pneumothoraces in minimally breathless patients under the age of 50 years
Patients with secondary pneumothoraces treated successfully with simple aspiration should be admitted to hospital and observed for at least 24 hours before discharge