[pneumothorax] Flashcards
thin young men
ruptured bullae
thin walled balloon-like air sacs
bullae rupture resulting in air leak into pleural potential space
pleural aspiration/biopsy
subclavian CVP line insertion
sarcoidosis pneumonia TB asthma COPD
Marfan’s
young
fit
small pneumothorax
dyspnoea
pleuritic chest pain
sudden onset
reduced breath sounds
hyper-resonance
reduced expansion
tension
chest drain
i.e. do NOT send for CXR
percutaneous liver biopsy
increased ventilation pressure
hypoxia
CXR
if certain this is NOT a tension pneumothorax
expiratory
area devoid of lung markings peripheral to the edge of the collapsed lung
chest drain
alert surgical team - advice
air drawn into pleural space
cannot escape
pushed to the contralateral side
compression and kinking of great veins
cardiorespiratory arrest
spontaneous
underlying lung pathology
Rim is >2cm on CXR
Dyspnoea present
after attempted unsuccessful aspiration
aspiration
–> chest drain if unsuccessful
SOB and >50 yrs
rim >2cm on CXR
if does no meet criteria for chest drain
(SOB and >50 yrs
rim >2cm on CXR)
large bore (14-16 g) with saline syringe to see bubbles coming out
2nd intercostal space
mid-clavicular line
(or in the safe triangle)
lateral border pec major
anterior border of latissimus
line superior to horizontal level of nipple
(triangle tip cut off by axilla)
no flying
no flying
100
CXR
emphysematous bullae
