Needle thoracostomy: Difference between revisions
| Line 16: | Line 16: | ||
* Kinking of catheter | * Kinking of catheter | ||
* Dislodgement | * Dislodgement | ||
* Recurrence of tension pneumothorax | * Recurrence of [[tension pneumothorax]] | ||
* Lung laceration | * [[Lung laceration]] | ||
* Air embolism | * [[Air embolism]] | ||
==See Also== | ==See Also== | ||
*[[Thoracic trauma]] | *[[Thoracic trauma]] | ||
Revision as of 04:23, 28 December 2014
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
See Also
External Links
Sources
- Doelken P, et al. Placement and management of thoracostomy tubes. In: Post T, ed. UpToDate. Waltham, Mass.: UpToDate; 2014. www.uptodate.com. Accessed December 25, 2014.