Needle thoracostomy: Difference between revisions
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==See Also== | ==See Also== | ||
*[[Tension pneumothorax]] | *[[Tension pneumothorax]] | ||
*[[Finger Thoracostomy]] | |||
==External Links== | ==External Links== | ||
Revision as of 17:57, 7 August 2017
Indications
- Suspected tension pneumothorax needing immediate decompression
- Hemodynamically unstable
Equipment Needed
- 14 to 16 gauge IV needle/catheter
- 5 or 10mL syringe
Procedure
- Insert 14 to 16 gauge IV needle catheter attached to syringe along superior margin of 2nd or 3rd rib in midclavicular line
- Advance needle until air is aspirated to syringe
- Withdraw needle
- Leave angiocatheter open to air
- Immediate rush of air out of chest = tension pneumothorax
- Follow immediately with standard thoracostomy tube
Complications
- Kinking of catheter
- Dislodgement
- Recurrence of tension pneumothorax
- Lung laceration
- Air embolism