Paramedic Understanding of Tension Pneumothorax and Needle Thoracostomy (NT) Site Selection

Lubin, Jeffrey; Knapp, Joshua R.; Kettenmann, Maude L

doi:10.7759/cureus.27013

Cited by 3 publications

(1 citation statement)

References 18 publications

(26 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the optimal location for needle aspiration continues to be debated in the literature. 15 In this case, the first needle aspiration was performed at ICS 5 midaxillary line dextra, and the second aspiration was performed at ICS 2 midclavicular line dextra. The selection of the aspiration location, in this case, was based on the results of a physical examination during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Needle Aspiration in Tuberculosis-Associated Secondary Spontaneous Pneumothorax

Candrawati,

Indraswari,

Komalasari

2024

View full text Add to dashboard Cite

Introduction: The management of tuberculosis-associated secondary spontaneous pneumothorax mostly requires chest tube insertion for complete drainage and resolution. We reported a case of tuberculosis-associated secondary spontaneous pneumothorax that improved with needle aspiration. Case: A 29-year-old female with pulmonary tuberculosis presented with sudden onset shortness of breath. Chest examination revealed asymmetry, decreased vocal fremitus, hypersonor, and decreased vesicular sound in the right lung field. Chest radiograph showed right pneumothorax with a 2 cm intrapleural distance. Needle aspiration was performed because the patient refused chest tube insertion. The first needle aspiration evacuated approximately 615 cc of air. The second needle aspiration was repeated 24 hours later due to clinical deterioration, and 610 cc of air was evacuated. Chest radiograph evaluation on the 6th day of treatment showed no pneumothorax. During hospitalization, the patient received oxygen therapy, anti-tuberculosis drugs, chest physiotherapy, and other symptomatic therapies such as mucolytics. The patient's condition improved, and she was discharged on the 9th day of hospitalization. Tuberculosis-associated secondary pneumothorax occurs in 1-3% of cases. Conclusion: Needle aspiration is a therapeutic modality for tuberculosis-associated secondary spontaneous pneumothorax. This modality has several advantages, including shorter length of stay, less cost and pain, and fewer complications. Needle aspiration combined with oxygen therapy, anti-tuberculosis drugs, and chest physiotherapy should be the modality of treatment for tuberculosis-associated secondary pneumothorax.

show abstract

Section: Discussionmentioning

confidence: 99%

Needle Aspiration in Tuberculosis-Associated Secondary Spontaneous Pneumothorax

Candrawati,

Indraswari,

Komalasari

2024

View full text Add to dashboard Cite

show abstract

Prehospital Trauma Compendium: Traumatic Pneumothorax Care: Position Statement and Resource Document of NAEMSP

Lyng,

Ward,

Angelidis

et al. 2024

Prehospital Emergency Care

View full text Add to dashboard Cite

The Ability of Paramedics to Accurately Locate Correct Anatomical Sites for Intraosseous Needle Insertion

Berger¹,

Petrie²,

Lubin³

2023

Cureus

View full text Add to dashboard Cite

IntroductionIntraosseous (IO) access is an alternative to peripheral intravenous access, in which a needle is inserted through the cortical bone into the medullary space using either a manual driver or an electric drill. Although studies report high success rates of IO access, failures are often attributed to incorrect site placement due to failure to adhere to anatomical landmarks. This study was designed to evaluate the ability of paramedics to locate the correct anatomic location for IO needle insertion. MethodsParticipants were paramedics who were recruited at Pennsylvania's annual statewide Emergency Medical Services (EMS) conference. After completing a demographics survey which included information about their training and practice environment, they were asked to identify which IO sites were permitted for IO placement using the EZ IO® drill and to place a sticker at those locations on a human volunteer. A transfer sheet was utilized, and the distance between the participants' sticker and the location as marked by a physician board-certified in both Emergency Medicine and Emergency Medical Services was recorded. Descriptive statistics and t-tests were calculated from the records.

show abstract

Paramedic Understanding of Tension Pneumothorax and Needle Thoracostomy (NT) Site Selection

Cited by 3 publications

References 18 publications

Needle Aspiration in Tuberculosis-Associated Secondary Spontaneous Pneumothorax

Needle Aspiration in Tuberculosis-Associated Secondary Spontaneous Pneumothorax

Prehospital Trauma Compendium: Traumatic Pneumothorax Care: Position Statement and Resource Document of NAEMSP

The Ability of Paramedics to Accurately Locate Correct Anatomical Sites for Intraosseous Needle Insertion

Contact Info

Product

Resources

About