Created at 7:40 p.m. Mar, 13, 2025
Author:
jorden.dick
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What would occur if a patient with a tension pneumothorax was intubated before chest decompression (needle or tube thoracostomy)?
The positive-pressure ventilation would {{c1::increase::increase / decrease}} accumulated air in the {{c1::intrathoracic}} space which would {{c1::exacerbate::relieve / exacerbate}} the tension pneumothorax leading to cardiovascular collapse
The positive-pressure ventilation would {{c1::increase::increase / decrease}} accumulated air in the {{c1::intrathoracic}} space which would {{c1::exacerbate::relieve / exacerbate}} the tension pneumothorax leading to cardiovascular collapse
Extra
- Important exception to the typical order of establishing the airway first
- If a patient with a tension pneumothorax requires mechanical ventilation, immediate tube thoracostomy should be performed first
- Needle thoracostomy is a temporizing measure. Once the patient is out of immediate danger, a thoracostomy tube or catheter should be placed
- If immediately available and appropriate for the clinical situation, a thoracostomy tube or catheter is an alternative for initial decompression
- If a patient with a tension pneumothorax requires mechanical ventilation, immediate tube thoracostomy should be performed first
- Needle thoracostomy is a temporizing measure. Once the patient is out of immediate danger, a thoracostomy tube or catheter should be placed
- If immediately available and appropriate for the clinical situation, a thoracostomy tube or catheter is an alternative for initial decompression
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