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