Difference between revisions of "Needle thoracostomy"

(Indications)
 
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==Indications==
 
==Indications==
 
*Suspected [[tension pneumothorax]] needing immediate decompression
 
*Suspected [[tension pneumothorax]] needing immediate decompression
**Blunt chest trauma, shortness of breath, asymmetric lung sounds, deviated trachea, crepitance, hypotension  
+
**Blunt [[chest trauma]], [[shortness of breath]], asymmetric lung sounds, deviated trachea, crepitance, [[hypotension]]
*Hemodynamically unstable
+
*[[shock|Hemodynamically unstable]]
  
 
==Equipment Needed==
 
==Equipment Needed==
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[[Category:Procedures]]
 
[[Category:Procedures]]
 +
[[Category:Critical Care]]
 +
[[Category:Pulmonary]]

Latest revision as of 16:39, 9 October 2019

Indications

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

See Also

External Links

References

  • Roberts, 179
  • Wolfson, 82, 129