Needle Decompression Pneumothorax Pediatric

A patient with a traumatic pneumothorax is best treated with a chest tube, because the condition may rapidly convert into a tension pneumothorax , especially if positive-pressure ventilation is applied. A tension pneumothorax requires immediate decompression with needle thoracostomy, followed by tube thoracostomy.

https://emedicine.medscape.com/article/1003552-treatment

Recent data has prompted us to modify how we treat pediatric patients with tension pneumothorax . This 3 minute video explains the science behind the protoco

https://www.youtube.com/watch?v=ZI7BN3QlHKo

The chest X-ray confirmed a left-sided tension pneumothorax with a mediastinal shift that required immediate needle decompression (figure 1). The largest available needle in the emergency setting was gauge 20 (G20). The chest wall was disinfected and the needle perpendicularly placed in the left second intercostal space in the midclavicular line.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7986683/

Tension pneumothorax is the accumulation of air within the pleural space. Causes of tension pneumothorax in children include trauma, asthma, cystic fibrosis, pneumonia and excessive positive pressure during manual or mechanical ventilation.. Once a tension pneumothorax occurs air can continue to accumulate within the pleural space but cannot escape. . This ...

https://acls-algorithms.com/pediatric-advanced-life-support/pediatric-shock-overview-part-1/pals-review-obstructive-shock/

The North American Rescue SPEAR (Simplified Pneumothorax Emergency Air Release) Device is the latest innovation in needle decompression technology. The versatile device has been designed and developed based directly on science, user feedback, and known gaps in the management of tension pneumothorax .

https://www.quadmed.com/product/spear-pneumothorax-device