User:Mr. Ibrahem/Needle thoracostomy

Needle thoracostomy (NT) is a procedure used in the initial treatment of a suspected tension pneumothorax. It is generally followed by placement of a chest tube. Finger thoracostomy; however, may be preferred over needle thoracostomy. It is a type of thoracostomy, along with chest tubes and catheter thoracostomy.

Typically the procedure is carried out in the 2nd intercostal space mid clavicular line or the 4th intercostal space anterior axillary line. If sufficient time is present, the area may be cleaned with chlorhexidine and local anesthetic injected. A 12, 14, or 16 gauge hollow needle and catheter is than placed just above the rib. Once air returns, the needle is removed while the catheter is left in the chest.

Successful placement will often result in a rush of air and improved vital signs. A chest X-ray is than carried out to verify improvement. Complications may include bleeding, infection, and heart, lung, or diaphragm injury. If someone did not previously have a pneumothorax, one may develop.