Pneumothorax 2

Question 1

if the rim of air is

Answer 1

2
discharge
strenuous exercise
cxr
2
smoking

Question 2

if the rim of air is >?cm or the patient is SOB..

• attempt ? and ? for at least ?h if secondary cause
• if this fails, or there is ?, insert a ? ?

Answer 2

2
aspiration
admit
24
recurrence
chest drain

Question 3

Aspiration

• insert a ?G cannula under ? into ?????? and attach to ?-way tap and a ?ml syringe to aspirate
• stop when ? is felt, or if the patient ? excessively
• if successful (check ?) consider discharging in a primary pneumothorax, with a repeat CXR at ?h and ? days
• insert ? the rib to avoid the NV bundle

Answer 3

16
LA
2 ICS mid clav line
3
50
resistance
coughs
cxr
24
7
ABOVE

Question 4

Chest drain

• ? to confirm location
• usually in safe triangle - ? to mid ax line, ?-?th ICS
• infiltrate down to ? with 1% ?, then use ? technique to insert drain
• attach drain to ? to the ? seal, which must be ? the level of patient
• check it is ? with respiration and ?, then check location with repeat ?

Answer 4

cxr
anterior
4-6
pleura
lignocaine
seldinger
tubing
underwater
below
swinging
bubbling
cxr

Question 5

After a pneumothorax, avoid ? for ? weeks, and ? should be permanently avoided
if recurrent (>2 occasions), or doesn't resolve within ?days, a ? ? then ? may be indicated, ? if fit, ? ? if not (some risk of recurrence)

Answer 5

flying
6
diving
5
chest drain
surgery
pleurectomy
talc pleurodesis