As A Nadelthorakostomie Is Performed

In a Nadelthorakostomie a needle is inserted into the pleural cavity, to decompress a tension pneumothorax. This is a potentially life-saving emergency procedures that can be performed when a tube thoracostomy can not be done fast enough. Indications tension pneumothorax, which must be decompressed before the tube thoracostomy can be performed Contraindications There are no absolute contraindications, because this procedure should only be used in a life threatening situation. to the relative contraindications are hemodynamic stability or a bleeding disorder. Complications Pulmonary or diaphragmatic laceration intercostal neuralgia due to the injury of the vascular nerve bundle under a rib bleeding infection rare perforation of other structures in the thorax or abdomen equipment A 14- or 16-gauge needle (an over-the-needle catheter is best); 8 cm needles are more successful than 5 cm needles, but increase the risk of injury to the underlying structures. Sterile gowns, masks, gloves cleaning solution such as 2% chlorhexidine solution Additional Considerations The urgency of the process is determined by the condition of the patient. Hypotension indicates an extended tension pneumothorax and requires urgent treatment. Positioning The patient should be in a supine position, Neurovascular lying on his back Relevant Anatomy bundles are arranged at the bottom of each rib. Therefore, the needle must be applied over the top edge of the fin to prevent damage to the neurovascular bundles. Anatomy of the ribs var model = {thumbnailUrl ‘/-/media/manual/professional/images/rib-anatomy-labels-video-2_de.jpg?la=de&thn=0&mw=350’, imageUrl: ‘/ – / media / ? manual / professional / images / rib-anatomy-labels-video-2_de.jpg lang = en & thn = 0 ‘, title:’ Anatomy of the ribs ‘, description:’ u003Ca id = “v38395352 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “” para “” u003e u003cp u003eDas neurovascular bundle at the bottom of the rib comprises the intercostal vein

Health Life Media Team

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