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Wernick B, Hon HH, Mubang RN, Cipriano A, Hughes R, Rankin DD, Evans DC, Burfeind WR, Hoey BA, Cipolla J, Galwankar SC, Papadimos TJ, Stawicki SP, Firstenberg MS. Complications of needle thoracostomy: A comprehensive clinical review. Int J Crit Illn Inj Sci 2015; 5:160-9. [PMID: 26557486 PMCID: PMC4613415 DOI: 10.4103/2229-5151.164939] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Needle thoracostomy (NT) is a valuable adjunct in the management of tension pneumothorax (tPTX), a life-threatening condition encountered mainly in trauma and critical care environments. Most commonly, needle thoracostomies are used in the prehospital setting and during acute trauma resuscitation to temporize the affected individuals prior to the placement of definitive tube thoracostomy (TT). Because it is both an invasive and emergent maneuver, NT can be associated with a number of potential complications, some of which may be life-threatening. Due to relatively common use of this procedure, it is important that healthcare providers are familiar, and ready to deal with, potential complications of NT.
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Affiliation(s)
- Brian Wernick
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Heidi H Hon
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Ronnie N Mubang
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Anthony Cipriano
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Ronson Hughes
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Demicha D Rankin
- Department of Anesthesiology, The Ohio State University College of Medicine, Columbus, Ohio, United States
| | - David C Evans
- Department of Surgery, The Ohio State University College of Medicine, Columbus, Ohio, United States
| | - William R Burfeind
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Brian A Hoey
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - James Cipolla
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Sagar C Galwankar
- Department of Emergency Medicine, University of Florida, Jacksonville, Florida, United States
| | - Thomas J Papadimos
- Department of Anesthesiology, The Ohio State University College of Medicine, Columbus, Ohio, United States
| | - Stanislaw P Stawicki
- Department of Surgery, St Luke's University Health Network, Bethlehem, Pennsylvania, United States ; Department of Research and Innovation, St Luke's University Health Network, Bethlehem, Pennsylvania, United States
| | - Michael S Firstenberg
- Cardiothoracic Surgery, Summa Health System and Northeastern Ohio Universities College of Medicine, Akron, Ohio, United States
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Abstract
This review examines the present understanding of tension pneumothorax and produces recommendations for improving the diagnostic and treatment decision process.
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