TY - JOUR T1 - Ambulatory management of primary spontaneous pneumothorax JF - Breathe JO - Breathe DO - 10.1183/20734735.0342-2020 VL - 17 IS - 2 SP - 200342 AU - Aleksandra Duffy AU - Janice Ward AU - Bhatnagar Malvika AU - Avinash Aujayeb Y1 - 2021/06/01 UR - http://breathe.ersjournals.com/content/17/2/200342.abstract N2 - The management of primary spontaneous pneumothorax (PSP) is currently being debated. The British Thoracic Society (BTS) guidelines [1] are over a decade old and recent European Respiratory Society (ERS) guidance [2] summarises more up-to-date evidence. Needle aspiration, intercostal drain insertion (ICD) and observation are all advocated. Ambulatory pneumothorax management has been described for decades [3]. A systematic review of underpowered and nonrandomised trials suggested a need for high quality data to support the use of ambulatory devices in pneumothorax management [3]. Thus, the Randomised Ambulatory Management of Primary Pneumothorax (RAMPP) trial was devised [4]. The trial aimed to compare the length of hospitalisation and safety of ambulatory management with standard care (needle aspiration±ICD insertion) [5]. We aim to describe the outcomes of RAMPP. We discuss its general relevance and in the context of the recent trial favouring conservative management over an interventional approach in PSP [6].Ambulatory pneumothorax management in primary spontaneous pneumothorax is safe and feasible https://bit.ly/39w3EfD ER -