Procedure

Simple Needle Aspiration of Pneumothorax

search

Simple Needle Aspiration of Pneumothorax

  • Indications
  • Contraindications
  1. Hemodynamically unstable patient
  2. Large Pneumothorax
  3. Chest Tube otherwise indicated
  • 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
  • Protocol
  • Following procedure
  • 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
  • References
  1. Tranchell (2013) Crit Dec Emerg Med 27(7): 11-8
  2. Zehtabchi (2008) Ann Emerg Med 51(1): 91-100 [PubMed]