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Is routine tube thoracostomy necessary after prehospital needle decompression for tension pneumothorax?
Kathleen M. Dominguez ,
A. Peter Ekeh ,
Kathryn M. Tchorz ,
Randy J. Woods ,
Mbaga S. Walusimbi ,
Jonathan M. Saxe ,
Mary C. McCarthy
March 2013
March 2013
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Abstract
Thoracic needle decompression is lifesaving in tension pneumothorax. However, performance
of subsequent tube thoracostomy is questioned. The needle may not enter the chest,
or the diagnosis may be wrong. The aim of this study was to test the hypothesis that
routine tube thoracostomy is not required.