Скачать с ютуб Needle Decompression Procedure in Pneumothorax в хорошем качестве

Needle Decompression Procedure in Pneumothorax

This video reviews, the techniques and equipment required to perform #needle aspiration or #decompression of primary spontaneous #pneumothorax in adults. Needle aspiration or needle thoracostomy is appropriate for patients with their first episode of primary spontaneous pneumothorax. __________________________________________________________ Top Moments- 0:00 what is pneumothorax? 0:40 needle decompression indications 1:00 needle decompression contraindications 1:23 equipment required 2:13 preparation 3:00 needle decompression landmark 4:04 local anesthesia 5:04 Insertion of needle catheter 5:58 needle aspiration 7:00 post procedure x ray _________________________________________________________________ Pneumothorax refers to the presence of air in the pleural cavity. Primary spontaneous pneumothorax may occur in an apparently healthy person who has no other signs or symptoms of a disease process that may have caused the pneumothorax observation and oxygen therapy. These may be the only treatments that are necessary for patients who have small primary, spontaneous pneumothorax. However, for patients with pneumothorax and clinically significant breathlessness, active intervention is required. This may include needle aspiration or the placement of a chest tube. This video reviews, the techniques and equipment required to perform needle aspiration or decompression of primary spontaneous pneumothorax in adults. Needle aspiration is appropriate for patients with their first episode of primary spontaneous pneumothorax. These patients should have no evidence of underlying lung disease and should either exhibit breathlessness or have a pneumothorax consisting of a rim of air of more than two centimeters measured at the level of the Hilum. Aspiration is contra-indicated when a patient has a traumatic pneumothorax or when tension pneumothorax is suspected. The preferred location for placement of a needle for aspiration of pneumothorax is the second intercostal space in the midclavicular line. On the side with the pneumothorax, begin by locating the second and third ribs. When you insert the over the needle catheter, connect the over the needle catheter to the 10 milliliter lidocaine syringe, which should be partially filled with the remainder of the local anesthetic, stabilize the skin with the non-dominant hand and puncture the skin with the catheter, using the same landmarks that you used for the local anesthetic. Continue to aspirate with the syringe slowly progressing in the direction of the pleural space. Again, when the needle penetrates the pleural space, air bubbles will appear in the syringe. At this point, move the needle forward a few millimeters to allow the catheter tip to fully penetrate into the pleural space.