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Original Contributions

Needle Thoracostomy for Tension Pneumothorax: Failure Predicted by Chest Computed Tomography

, MD, , MD, , MD, , MD, , MD, , BS & , DO show all
Pages 14-17 | Received 27 Jun 2008, Accepted 06 Jul 2008, Published online: 02 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (4)

Graham Newton, Gudrun Reay, Catherine M. Laing & Kathryn King-Shier. (2022) Clinical Characteristics of Patients Undergoing Needle Thoracostomy in a Canadian Helicopter Emergency Medical Service. Prehospital Emergency Care 26:3, pages 400-405.
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John Lyng, Kathleen Adelgais, Rachael Alter, Justin Beal, Bruce Chung, Toni Gross, Marc Minkler, Brian Moore, Tim Stebbins, Sam Vance, Ken Williams & Allen Yee. (2021) Recommended Essential Equipment for Basic Life Support and Advanced Life Support Ground Ambulances 2020: A Joint Position Statement. Prehospital Emergency Care 25:3, pages 451-459.
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Maria J. Mandt, Kari Hayes, Fred Severyn & Kathleen Adelgais. (2019) Appropriate Needle Length for Emergent Pediatric Needle Thoracostomy Utilizing Computed Tomography. Prehospital Emergency Care 23:5, pages 663-671.
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Matthew Trump & Ashraf Gohar. (2013) Diagnosis and Treatment of Pneumothorax. Hospital Practice 41:3, pages 28-39.
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Articles from other publishers (45)

Jordan Osterman, Annika Bickford Kay, David S. Morris, Shawn Evertson, Teresa Brunt & Sarah Majercik. (2022) Prehospital decompression of tension pneumothorax: Have we moved the needle?. The American Journal of Surgery 224:6, pages 1460-1463.
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Mathew Nelson, Yash Chavda, Brendon Stankard, Molly McCann-Pineo, Alexander Nello & Andrew Jersey. (2022) Using Ultrasound to Determine Optimal Location for Needle Decompression of Tension Pneumothorax: A Pilot Study. The Journal of Emergency Medicine 63:4, pages 528-532.
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Andrew W. Kirkpatrick & Jessica L. McKee. (2022) Empowering catastrophic far-forward self-care: Nobody should die alone without trying. Journal of Military, Veteran and Family Health 8:s2, pages 104-114.
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Rubayet Hossain, Usama Qadri, Nathan Dembowski, Angelica Garcia, Lei Chen, Mark X. Cicero & Antonio Riera. (2021) Sound and Air. Pediatric Emergency Care 37:12, pages e1544-e1548.
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Jeremy T. Cushman. 2021. Emergency Medical Services. Emergency Medical Services 480 484 .
Michael M Neeki, Christina Cheung, Fanglong Dong, Nam Pham, Dylan Shafer, Arianna Neeki, Keeyon Hajjafar, Rodney Borger, Brandon Woodward & Louis Tran. (2021) Emergent needle thoracostomy in prehospital trauma patients: a review of procedural execution through computed tomography scans. Trauma Surgery & Acute Care Open 6:1, pages e000752.
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John LyngKathleen AdelgaisRachael AlterJustin BealBruce ChungToni GrossMarc Minkler, Brian Moore, Tim StebbinsSam VanceKen Williams & Allen Yee. (2021) Recommended Essential Equipment for Basic Life Support and Advanced Life Support Ground Ambulances 2020: A Joint Position Statement. Pediatrics 147:6.
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Graham Newton, Catherine M. Laing, Gudrun Reay & Kathryn King-Shier. (2021) Thoracic Endotracheal Tube Insertion During Prehospital Thoracostomy: A Case Report. Air Medical Journal 40:3, pages 182-184.
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N Azizi, E ter Avest, A.E. Hoek, Y Admiraal-van de Pas, P.J. Buizert, D.R. Peijs, I Berg, A.V. Rosendaal, T Boeije, V Rietveld, T Olgers & J.C. ter Maaten. (2021) Optimal anatomical location for needle chest decompression for tension pneumothorax: A multicenter prospective cohort study. Injury 52:2, pages 213-218.
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Chia-Hung Hsu, Tzu-Yin Lin, Ju-Chi Ou, Jiann Ruey Ong & Hon-Ping Ma. (2020) Risk Values of Weight and Body Mass Index for Chest Wall Thickness in Patients Requiring Needle Thoracostomy Decompression. Emergency Medicine International 2020, pages 1-9.
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Emily A. Norris, Christian S. McEvoy, Matthew L. Leatherman, Michael R. Boboc, Jamie L. Fitch, Shane D. Jensen & Travis M. Polk. (2020) Comparison of 10- versus 14-gauge angiocatheter for treatment of tension pneumothorax and tension-induced pulseless electrical activity with hemorrhagic shock: Bigger is still better. Journal of Trauma and Acute Care Surgery 89:2S, pages S132-S136.
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Jason R. Pickett, Joshua R. Todd & Ricky C. Kue. 2020. Operational and Medical Management of Explosive and Blast Incidents. Operational and Medical Management of Explosive and Blast Incidents 163 187 .
B.C. Axtman, K.E. Stewart, J.M. Robbins, T. Garwe, Z. Sarwar, R.A. Gonzalez, T.L. Zander, F.M. Balla & R.M. Albrecht. (2019) Prehospital needle thoracostomy: What are the indications and is a post-trauma center arrival chest tube required?. The American Journal of Surgery 218:6, pages 1138-1142.
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Ferdia Bolster, Zabiullah Ali, David Fowler & Barry Daly. (2019) Imaging of resuscitation and emergency resuscitation devices—Lessons learned from post mortem computed tomography. Journal of Forensic Radiology and Imaging 17, pages 23-30.
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Robert L. Dickson, Guy Gleisberg, Michael Aiken, Kevin Crocker, Casey Patrick, Tyler Nichols, Christopher Mason & Joseph Fioretti. (2018) Emergency Medical Services Simple Thoracostomy for Traumatic Cardiac Arrest: Postimplementation Experience in a Ground-based Suburban/Rural Emergency Medical Services Agency. The Journal of Emergency Medicine 55:3, pages 366-371.
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Matthew L. Leatherman, Laura M. Fluke, Christian S. McEvoy, Douglas M. Pokorny, Robert L. Ricca, Matthew J. Martin, Christopher S. Gamble & Travis M. Polk. (2017) Bigger is better: Comparison of alternative devices for tension hemopneumothorax and pulseless electrical activity in a Yorkshire swine model. Journal of Trauma and Acute Care Surgery 83:6, pages 1187-1194.
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Nimesh D. Naik, Matthew C. Hernandez, Jeff R. Anderson, Erika K. Ross, Martin D. Zielinski & Johnathon M. Aho. (2017) Needle Decompression of Tension Pneumothorax with Colorimetric Capnography. Chest 152:5, pages 1015-1020.
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Joshua Brown, Nitin Sajankila & Jeffrey A. Claridge. (2017) Prehospital Assessment of Trauma. Surgical Clinics of North America 97:5, pages 961-983.
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Matthew L. Leatherman, Jenny M. Held, Laura M. Fluke, Christian S. McEvoy, Kenji Inaba, Daniel Grabo, Matthew J. Martin, Angela S. Earley, Robert L. Ricca & Travis M. Polk. (2017) Relative device stability of anterior versus axillary needle decompression for tension pneumothorax during casualty movement. Journal of Trauma and Acute Care Surgery 83:1, pages S136-S141.
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Caroline Leech, Keith Porter, Richard Steyn, Colville Laird, Imogen Virgo, Richard Bowman & David Cooper. (2016) The pre-hospital management of life-threatening chest injuries: A consensus statement from the Faculty of Pre-Hospital Care, Royal College of Surgeons of Edinburgh. Trauma 19:1, pages 54-62.
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Can Ozen, Haldun Akoglu, Rifat Ozgur Ozdemirel, Elif Omeroglu, Cigdem Ulubay Ozpolat, Ozge Onur, Yalcin Buyuk & Arzu Denizbasi. (2016) Determination of the chest wall thicknesses and needle thoracostomy success rates at second and fifth intercostal spaces: a cadaver-based study. The American Journal of Emergency Medicine 34:12, pages 2310-2314.
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Keith J Roberts. (2015) The role for surgery in pre-hospital care. Trauma 18:2, pages 92-100.
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Danuel V. Laan, Trang Diem N. Vu, Cornelius A. Thiels, T.K. Pandian, Henry J. Schiller, M. Hassan Murad & Johnathon M. Aho. (2016) Chest wall thickness and decompression failure: A systematic review and meta-analysis comparing anatomic locations in needle thoracostomy. Injury 47:4, pages 797-804.
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Johnathon M. Aho, Cornelius A. Thiels, Moustafa M. El Khatib, Daniel S. Ubl, Danuel V. Laan, Kathleen S. Berns, Elizabeth B. Habermann, Scott P. Zietlow & Martin D. Zielinski. (2016) Needle thoracostomy. Journal of Trauma and Acute Care Surgery 80:2, pages 272-277.
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Matthias Hecker, Katrin Hegenscheid, Henry Völzke, Peter Hinz, Jörn Lange, Axel Ekkernkamp & Matthias Frank. (2016) Needle decompression of tension pneumothorax. Journal of Trauma and Acute Care Surgery 80:1, pages 119-124.
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P. T. Bach & C. Sølling. (2015) Failed needle decompression of bilateral spontaneous tension pneumothorax. Acta Anaesthesiologica Scandinavica 59:6, pages 807-810.
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Brian M. Clemency, Christopher T. Tanski, Michael Rosenberg, Paul R. May, Joseph D. Consiglio & Heather A. Lindstrom. (2015) Sufficient Catheter Length for Pneumothorax Needle Decompression: A Meta-Analysis. Prehospital and Disaster Medicine 30:3, pages 249-253.
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D.K. Hockertz, K.F. Braun & H. Trentzsch. (2014) Nadeldekompression des SpannungspneumothoraxNeedle decompression of tension pneumothorax. Notfall + Rettungsmedizin 18:1, pages 49-52.
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Jeremy T. Cushman. 2015. Emergency Medical Services. Emergency Medical Services 407 411 .
B.A. Zahoor, T.M. Scalea, M.R. Noorbakhsh & B.R. Bruns. (2015) Penetrating cardiac injury as the result of pre-hospital needle decompression. Heart, Lung and Circulation 24, pages e69-e72.
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Mansoor Khan. 2015. Encyclopedia of Trauma Care. Encyclopedia of Trauma Care 1264 1265 .
Quinton Hatch, Mia Debarros, Eric Johnson, Kenji Inaba & Matthew Martin. (2014) Standard laparoscopic trocars for the treatment of tension pneumothorax. Journal of Trauma and Acute Care Surgery 77:1, pages 170-175.
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Samuel J. Chang, Samuel Wade Ross, David J. Kiefer, William E. Anderson, Amelia T. Rogers, Ronald F. Sing & David W. Callaway. (2014) Evaluation of 8.0-cm needle at the fourth anterior axillary line for needle chest decompression of tension pneumothorax. Journal of Trauma and Acute Care Surgery 76:4, pages 1029-1034.
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Sridhar Rathinam, Sophia Grobler, Antony Bleetman, Thomas Kink & Richard Steyn. (2014) Evolved design makes ThoraQuik safe and user friendly in the management of pneumothorax and pleural effusion. Emergency Medicine Journal 31:1, pages 59-64.
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William F. Powers, Thomas V. Clancy, Ashley Adams, Tonnya C. West, Cyrus A. Kotwall & William W. Hope. (2014) Proper catheter selection for needle thoracostomy: A height and weight-based criteria. Injury 45:1, pages 107-111.
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Joseph G. KotoraJr.Jr., Jose Henao, Lanny F. Littlejohn & Sara Kircher. (2013) Vented Chest Seals for Prevention of Tension Pneumothorax in a Communicating Pneumothorax. The Journal of Emergency Medicine 45:5, pages 686-694.
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Elizabeth Schroeder, Carrie Valdez, Andres Krauthamer, Nadia Khati, Jessica Rasmus, Richard Amdur, Kathleen Brindle & Babak Sarani. (2013) Average chest wall thickness at two anatomic locations in trauma patients. Injury 44:9, pages 1183-1185.
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Haldun Akoglu, Ebru Unal Akoglu, Serdar Evman, Tayfun Akoglu, Arzu Denizbasi Altinok, Ozlem Guneysel, Ozge Ecmel Onur & Serkan Emre Eroglu. (2013) Determination of the appropriate catheter length and place for needle thoracostomy by using computed tomography scans of pneumothorax patients. Injury 44:9, pages 1177-1182.
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Kathleen M. Dominguez, A. Peter Ekeh, Kathryn M. Tchorz, Randy J. Woods, Mbaga S. Walusimbi, Jonathan M. Saxe & Mary C. McCarthy. (2013) Is routine tube thoracostomy necessary after prehospital needle decompression for tension pneumothorax?. The American Journal of Surgery 205:3, pages 329-332.
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Matthew Martin, Steven Satterly, Kenji Inaba & Kelly Blair. (2012) Does needle thoracostomy provide adequate and effective decompression of tension pneumothorax?. Journal of Trauma and Acute Care Surgery 73:6, pages 1412-1417.
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Takeshi Yamagiwa, Seiji Morita, Rie Yamamoto, Tomoko Seki, Katsuhiko Sugimoto & Sadaki Inokuchi. (2012) Determination of the appropriate catheter length for needle thoracostomy by using computed tomography scans of trauma patients in Japan. Injury 43:1, pages 42-45.
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Kenji Inaba, Bernardino C. Branco, Marc Eckstein, David V. Shatz, Matthew J. Martin, Donald J. Green, Thomas T. Noguchi & Demetrios Demetriades. (2011) Optimal Positioning for Emergent Needle Thoracostomy: A Cadaver-Based Study. Journal of Trauma: Injury, Infection & Critical Care 71:5, pages 1099-1103.
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A. Robb McLean, Michael E. Richards, Cameron S. Crandall & Jonathan L. Marinaro. (2011) Ultrasound determination of chest wall thickness: implications for needle thoracostomy. The American Journal of Emergency Medicine 29:9, pages 1173-1177.
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Leon D. Sanchez, Shannon Straszewski, Amina Saghir, Atif Khan, Erin Horn, Christopher Fischer, Faisal Khosa & Marc A. Camacho. (2011) Anterior Versus Lateral Needle Decompression of Tension Pneumothorax: Comparison by Computed Tomography Chest Wall Measurement. Academic Emergency Medicine 18:10, pages 1022-1026.
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