Needle thoracostomy: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "* " to "*") |
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*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 | ||
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*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 | ||
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==External Links== | ==External Links== | ||
==References== | ==References== | ||
<references/> | |||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 06:52, 13 July 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