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Thoracentesis / ˌ θ ɔː r ə s ɪ n ˈ t iː s ɪ s /, also known as thoracocentesis (from Greek θώραξ (thōrax, GEN thōrakos) 'chest, thorax' and κέντησις (kentēsis) 'pricking, puncture'), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or therapeutic ...
Tension pneumothorax is usually treated with urgent needle decompression. This may be required before transport to the hospital, and can be performed by an emergency medical technician or other trained professional. [16] [41] The needle or cannula is left in place until a chest tube can be inserted.
A thoracostomy is a small incision of the chest wall, [1] with maintenance of the opening for drainage. [2] It is most commonly used for the treatment of a pneumothorax.This is performed by physicians, paramedics, and nurses usually via needle thoracostomy or an incision into the chest wall with the insertion of a thoracostomy tube (chest tube) or with a hemostat and the provider's finger ...
A nerve decompression is a neurosurgical procedure to relieve chronic, direct pressure on a nerve to treat nerve entrapment, a pain syndrome characterized by severe chronic pain and muscle weakness. In this way a nerve decompression targets the underlying pathophysiology of the syndrome and is considered a first-line surgical treatment option ...
When not participating in training work-ups and live missions, the TMP serves to educate and train the team on life-saving medical procedures such as chest tube placement, cricothyrotomy, needle decompression, and rapid sequence intubation. Additionally, the TMP is expected to train with their team in weapons safety and marksmanship, workouts ...
Respirations and breathing is managed by the assessment for tension pneumothorax and aggressive use of needle decompression devices to relieve tension and improve breathing. C irculation impairment is assessed and managed through the initiation of intravenous access followed up by administration of tranexamic acid (TXA) if indicated, and a ...
The needle was introduced as a safer technique to give patients such pneumothoraces. It was not until 1938, when he published his invention in the German literature, that the needle became more broadly known outside of Hungary. [4] Raoul Palmer introduced the use of the Veress needle in laparoscopy to establish a pneumoperitoneum. [5]
This method is less popular due to an increased risk of iatrogenic lung injury. Placement using the Seldinger technique, in which a blunt guidewire is passed through a needle (over which the chest tube is then inserted) has been described. Protocols to maintain chest tube patency by preventing chest tube clogging are necessary.