Lateral Approach Needle Thoracostomy: 4th-5th ICS Anterior Axillary Line Literature demonstrates a lower failure rate of reaching the pleural space when using the lateral approach due to decreased chest wall thickness. Studies vary on results of rate of therapeutic success in the prehospital setting when comparing lateral vs. anterior approaches. Always follow your local protocols! #ERNurse #EmergencyNurse #CEN #CFRN #CTRN #ICUNurse #NCLEX #NursingSchool #NursingStudent #Nurse #ICUNurse #CCRN #F
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Chest Tube Placement (Thoracostomy) and Pleurodesis
Chest Tube Placement (Thoracostomy) and Pleurodesis
Apr 11, 2021
radiologyinfo.org
Studies show needle decompression of a tension pneumothorax is more accurate at the fifth intercostal space (ICS), anterior axillary line (AAL), than at the second ICS, midclavicular line (MCL). Twenty-five Navy corpsmen trained and performed timed procedures on cadavers, inserting a 14-gauge catheter into both sites in sequence. Outcomes included time, accuracy, and ease. They performed 100 insertions with no significant difference in time (16.8 vs. 16.9 seconds). Accuracy was better at the fif
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