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    How To Do Needle Thoracostomy - Pulmonary Disorders - Merck …

    • Needle thoracostomy, also called needle decompression, is insertion of a needle into the pleural space to decompress a tension pneumothorax. Needle thoracostomy is an emergency, potentially life-sav… See more

    Complications of Needle Thoracostomy

    Pulmonary or diaphragmatic laceration Intercostal neuralgia due to injury of the … See more

    The Merck Manuals
    Equipment For Needle Thoracostomy

    A 14- or 16-gauge needle (an over-the-needle catheter is best); 8-cm needles are more successful than 5-cm needles but increase the risk of injury to underlying structures S… See more

    The Merck Manuals
    Additional Considerations For Needle Thoracostomy

    The urgency of the procedure is determined by the patient’s condition. Hypotension suggests a more advanced tension pneumothorax requiring more urgent treatment.… See more

    The Merck Manuals
    Relevant Anatomy For Needle Thoracostomy

    Neurovascular bundles are located at the lower edge of each rib. Therefore, the needle must be placed over the upper edge of the rib to avoid damage to the neurovascul… See more

    The Merck Manuals
    Step-By-Step Description of Needle Thoracostomy

    The preferred insertion site is the 2nd intercostal space in the mid-clavicular line in the affected hemithorax. However, insertion of the needle virtually anywhere in the correct h… See more

    The Merck Manuals
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