Pulmonology Book


Simple Needle Aspiration of Pneumothorax

Aka: Simple Needle Aspiration of Pneumothorax
  1. See Also
    1. Spontaneous Pneumothorax
    2. Small Calibre Chest Tube (Heimlich Valve, Pigtail Chest Catheter)
    3. Pneumothorax
    4. Needle Decompression of Thorax
    5. Chest Tube
  2. Indications
    1. Primary Spontaneous Pneumothorax
    2. May be used in Secondary Spontaneous Pneumothorax (but lower efficacy)
  3. Contraindications
    1. Hemodynamically unstable patient
    2. Large Pneumothorax
    3. Chest Tube otherwise indicated
  4. Technique
    1. Similar technique as with Small Calibre Chest Tube (Heimlich Valve, Pigtail Chest Catheter)
    2. Insert 16 to 18 gauge catheter with 3-way stop cock into the second intercostal space mid-clavicular line
    3. Remove catheter after full evacuation of air
  5. Protocol: Following procedure
    1. See Spontaneous Pneumothorax
  6. Efficacy
    1. Effective in 58% to 80% of cases
    2. No increased recurrence rate at one year
    3. Decreased admission rates, shortened length of hospital stays and faster return to work
  7. References
    1. Tranchell (2013) Crit Dec Emerg Med 27(7): 11-8
    2. Zehtabchi (2008) Ann Emerg Med 51(1): 91-100 [PubMed]

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