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Thoracentesis / ˌ θ ɔː r ə s ɪ n ˈ t iː s ɪ s /, also known as thoracocentesis (from Greek θώραξ (thōrax, GEN thōrakos) 'chest, thorax' and κέντησις (kentēsis) 'pricking, puncture'), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or therapeutic ...
Treatment of the underlying condition can quickly resolve the shock. For tension pneumothorax, needle decompression should be done immediately. A chest tube is also inserted. [3] [8] Cardiac tamponade is treated through needle or surgical decompression. [3] Needle pericardiocentesis can be done at the bedside. This is often the preferred therapy.
Tension pneumothorax is usually treated with urgent needle decompression. This may be required before transport to the hospital, and can be performed by an emergency medical technician or other trained professional. [16] [41] The needle or cannula is left in place until a chest tube can be inserted.
A thoracostomy is a small incision of the chest wall, [1] with maintenance of the opening for drainage. [2] It is most commonly used for the treatment of a pneumothorax.This is performed by physicians, paramedics, and nurses usually via needle thoracostomy or an incision into the chest wall with the insertion of a thoracostomy tube (chest tube) or with a hemostat and the provider's finger ...
The needle was introduced as a safer technique to give patients such pneumothoraces. It was not until 1938, when he published his invention in the German literature, that the needle became more broadly known outside of Hungary. [4] Raoul Palmer introduced the use of the Veress needle in laparoscopy to establish a pneumoperitoneum. [5]
Needle decompression or tube thoracostomy may be necessary to drain a pneumothorax or haemothorax; Foley catheterization may be necessary for spinal cord AGE if the person is unable to urinate. Intravenous hydration may be required to maintain adequate blood pressure. Therapeutic recompression is indicated for severe AGE. The diving medical ...
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Left-sided pneumothorax (right side of image) on CT scan of the chest with chest tube in place. Medical uses of chest tube are as follows: [6] Pneumothorax: accumulation of air or gas in the pleural space; Pleural effusion: accumulation of fluid in the pleural space Chylothorax: a collection of lymph in the pleural space