Pleural Decompression - Revision history

Treloars: /* 9.26 PLEURAL DECOMPRESSION */

2025-08-25T13:06:00Z

9.26 PLEURAL DECOMPRESSION

← Older revision		Revision as of 13:06, 25 August 2025
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	'''EQUIPMENT:'''		'''EQUIPMENT:'''
	* ~~14 gauge 2 - 2.5 inch catheter over the~~ needle.		* Appropriate sized needle.
	* Sterile glove finger.		* Sterile glove finger.
	* Thread the #14 gauge catheter through the end of the glove finger from the inside.		* Thread the #14 gauge catheter through the end of the glove finger from the inside.

Treloars at 17:45, 1 February 2018

2018-02-01T17:45:50Z

← Older revision		Revision as of 17:45, 1 February 2018
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	* Assess breath sounds and respiratory status.		* Assess breath sounds and respiratory status.

	[[Category:Procedure Guidelines]]		[[Category:Procedure Guidelines\|0926]]

Treloars: /* Section 9 - Procedure Guidelines */

2012-04-02T01:49:51Z

Section 9 - Procedure Guidelines

← Older revision		Revision as of 01:49, 2 April 2012
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	* Flutter valve must be outside dressing and unobstructed.		* Flutter valve must be outside dressing and unobstructed.
	* Assess breath sounds and respiratory status.		* Assess breath sounds and respiratory status.

			[[Category:Procedure Guidelines]]

Treloars: /* 9.26 PLEURAL DECOMPRESSION */

2012-02-05T02:17:19Z

9.26 PLEURAL DECOMPRESSION

← Older revision		Revision as of 02:17, 5 February 2012
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	'''PROCEDURE:'''		'''PROCEDURE:'''
	* Locate decompression site.		* Locate decompression site.
	** Identify the 2nd intercostal space in the mid-clavicular line on the same side as the pneumothorax.		** Identify the 2nd intercostal space in the mid-clavicular line on the same side as the pneumothorax. '''''OR'''''
	OR
	** Identify the 5th intercostal space in the mid-axillary line on the same side as the pneumothorax.		** Identify the 5th intercostal space in the mid-axillary line on the same side as the pneumothorax.
	* Prepare the site with an antiseptic swab:		* Prepare the site with an antiseptic swab:

Treloars: Created page with "==Section 9 - Procedure Guidelines== ===9.26 PLEURAL DECOMPRESSION=== '''INDICATIONS:''' * Chest decompression for relief of tension pneumothorax. '''EQUIPMENT:''' * 14 ga..."

2012-02-05T02:16:12Z

Created page with "==Section 9 - Procedure Guidelines== ===9.26 PLEURAL DECOMPRESSION=== '''INDICATIONS:''' * Chest decompression for relief of tension pneumothorax. '''EQUIPMENT:''' * 14 ga..."

New page

==Section 9 - Procedure Guidelines==
===9.26 PLEURAL DECOMPRESSION===

'''INDICATIONS:'''
* Chest decompression for relief of tension pneumothorax.

'''EQUIPMENT:'''
* 14 gauge 2 - 2.5 inch catheter over the needle.
* Sterile glove finger.
* Thread the #14 gauge catheter through the end of the glove finger from the inside.
* Tape.
* Sterile gauze pads.
* Antiseptic swabs.
* Occlusive dressing.

'''PROCEDURE:'''
* Locate decompression site.
** Identify the 2nd intercostal space in the mid-clavicular line on the same side as the pneumothorax.
OR
** Identify the 5th intercostal space in the mid-axillary line on the same side as the pneumothorax.
* Prepare the site with an antiseptic swab:
* Firmly introduce catheter immediately above the distal rib of the site selected with a glove finger placed over the needle and catheter to serve as a flutter valve.
* Insert the catheter through the parietal pleura until air exits. It should exit under pressure.
* Advance catheter and remove needle.
* Secure the catheter taking care not to allow it to kink.
* Reassess lung sounds and patient condition.
* Dress area with Occlusive dressing then cover with sterile gauze pad.
* Flutter valve must be outside dressing and unobstructed.
* Assess breath sounds and respiratory status.