Needle Thoracostomy

Question 1

Needle Thoracostomy - Indications (3)

Answer 1

1. Single tension pneuomothorax with respiratory, cardiac and/or haemodynamic comrpomise - decompress the injured side only.
2. Chest injuries in with major trauma where patient is peri-arrest - immediately decompress bilaterally
3. Traumatic cardiac arrest with actual or suspected chest injuries - immediately decompress both sides (most injured side first)

Question 2

Needle Thoracostomy - Contraindications (1)

Answer 2

DO NOT remove the catheter once decompression is performed

Question 3

Needle Thoracostomy - Complications (2)

Answer 3

1. Damage to underlying structures (eg. heart or lungs) especially in with patents <50kg
2. Redevelopment of tension pneumothorax