Ver el código de «Needle thoracostomy»

==Indications==
*Suspected [[tension pneumothorax]] needing immediate decompression
**Blunt chest trauma, shortness of breath, asymmetric lung sounds, deviated trachea, crepitant, hypotension 
*Hemodynamically unstable

==Equipment Needed==
*14 to 16 gauge IV needle/catheter
*5 or 10mL syringe

==Procedure==
*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
*Withdraw needle
*Leave angiocatheter open to air
*Immediate rush of air out of chest = tension pneumothorax
*Follow immediately with standard thoracostomy tube

==Complications==
*Kinking of catheter
*Dislodgement
*Recurrence of [[tension pneumothorax]]
*[[Lung laceration]]
*[[Air embolism]]

==See Also==
*[[Tension pneumothorax]]
*[[Finger Thoracostomy]]

==External Links==


==References==
*Roberts, 179
*Wolfson, 82, 129
<references/>

[[Category:Procedures]]