Needle thoracostomy: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Sources==" to "==References==") |
Neil.m.young (talk | contribs) (Text replacement - "* " to "*") |
||
| Line 1: | Line 1: | ||
==Indications== | ==Indications== | ||
* Suspected [[tension pneumothorax]] needing immediate decompression | *Suspected [[tension pneumothorax]] needing immediate decompression | ||
* Hemodynamically unstable | *Hemodynamically unstable | ||
==Equipment Needed== | ==Equipment Needed== | ||
* 14 to 16 gauge IV needle/catheter | *14 to 16 gauge IV needle/catheter | ||
* 5 or 10mL syringe | *5 or 10mL syringe | ||
==Procedure== | ==Procedure== | ||
* Insert 14 to 16 gauge IV needle catheter attached to syringe along superior margin of 2nd or 3rd rib in midclavicular line | *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 | *Advance needle until air is aspirated to syringe | ||
* Withdraw needle | *Withdraw needle | ||
* Leave angiocatheter open to air | *Leave angiocatheter open to air | ||
* Immediate rush of air out of chest = tension pneumothorax | *Immediate rush of air out of chest = tension pneumothorax | ||
* Follow immediately with standard thoracostomy tube | *Follow immediately with standard thoracostomy tube | ||
==Complications== | ==Complications== | ||
* 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== | ||
Revision as of 16:15, 7 July 2016
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
References
- 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.