Needle thoracostomy - Revision history

Elcatracho: /* Equipment Needed */

2020-11-25T22:33:09Z

Equipment Needed

← Older revision		Revision as of 22:33, 25 November 2020
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	==Equipment Needed==		==Equipment Needed==
	*14 to 16 gauge IV needle/catheter		*5cm 14 to 16 gauge IV needle/catheter
	*5 or 10mL syringe		*5 or 10mL syringe

2020-11-25T22:32:01Z

Procedure

← Older revision		Revision as of 22:32, 25 November 2020
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	==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 5 cm 14 to 16 gauge IV needle catheter attached to syringe along superior margin of 2nd or 3rd rib in midclavicular line
			**Evidence suggests lowest failure rate of needle decompression is at the 4th/5th rib space along the anterior axillary line <ref>Laan DV et al. Chest Wall Thickness and Decompression Failure: A systematic Review and Meta-Analysis Coparing Anatomic Locations in Needle Thoracostomy. Injury 2015 [Epub Ahead of Print]. PMID: 26724173</ref>
	*Advance needle until air is aspirated to syringe		*Advance needle until air is aspirated to syringe
	*Withdraw needle		*Withdraw needle

2019-10-09T16:39:37Z

← Older revision		Revision as of 16:39, 9 October 2019
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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]]

2019-06-17T15:19:27Z

Indications

← Older revision		Revision as of 15:19, 17 June 2019
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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, ~~crepitant~~, hypotension		**Blunt chest trauma, shortness of breath, asymmetric lung sounds, deviated trachea, crepitance, hypotension
	*Hemodynamically unstable		*Hemodynamically unstable

2019-06-17T15:18:55Z

Indications

← Older revision		Revision as of 15:18, 17 June 2019
Line 1:		Line 1:
	==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, crepitant, hypotension
	*Hemodynamically unstable		*Hemodynamically unstable

2019-06-17T15:15:42Z

References

2017-08-07T17:57:03Z

2017-07-13T06:52:31Z

← Older revision		Revision as of 06:52, 13 July 2017
Line 6:		Line 6:
	*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
Line 13:		Line 14:
	*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/>

	~~<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.
	[[Category:Procedures]]		[[Category:Procedures]]

2016-07-07T16:15:34Z

Text replacement - "* " to "*"

← Older revision		Revision as of 16:15, 7 July 2016
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	==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==

2016-06-26T09:16:26Z

Text replacement - "==Sources==" to "==References=="

← Older revision		Revision as of 09:16, 26 June 2016
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	==External Links==		==External Links==

	==~~Sources~~==		==References==

	<references/>		<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.		*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.
	[[Category:Procedures]]		[[Category:Procedures]]