What question did this study set out to answer?

To evaluate the effectiveness of a properly placed, patent needle thoracostomy compared with standard tube thoracostomy in a swine model of tension pneumothorax.

August 18, 2012Journal of Trauma and Acute Care Surgery

Does needle thoracostomy provide adequate and effective decompression of tension pneumothorax?

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Authors

MMMatthew J. MartinNottingham University Hospitals NHS Trust SSSteven SatterlyDuke Medical Center KIKenji InabaUniversité Claude Bernard Lyon 1

Discussion

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Implication

Experimental study reveals high failure rates of needle thoracostomy for tension pneumothorax in swine, indicating standard needle decompression may be inadequate during emergencies.

Key Points

To evaluate the effectiveness of a properly placed, patent needle thoracostomy compared with standard tube thoracostomy in a swine model of tension pneumothorax.
Tension pneumothorax was induced in 6 adult swine via continuous 1 L/min thoracic carbon dioxide insufflation to simulate an ongoing air leak.
The efficacy of a 14-gauge needle thoracostomy was compared with a 34F tube thoracostomy across two scenarios: hemodynamic compromise and pulseless electrical activity.
In the hemodynamic compromise arm, needle thoracostomy had an overall failure rate of 58% (mechanical failure in 26% and physiologic failure in 43% of patent needles), whereas tube thoracostomy was 100% successful.
In the pulseless electrical activity arm, needle thoracostomy failed to restore perfusion in 64% of events (9/14), compared with 100% success for primary tube thoracostomy and an 88% rescue success rate after needle failure.

Cite This Study

Martin et al. (2012) studied this question.

synapsesocial.com/papers/6aaa2db1783e6550cf1bfaf0 https://doi.org/10.1097/ta.0b013e31825ac511

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August 18, 2012Journal of Trauma and Acute Care Surgery

Does needle thoracostomy provide adequate and effective decompression of tension pneumothorax?

View Full Paper

Ask AI

Bookmark

Authors

MMMatthew J. MartinNottingham University Hospitals NHS Trust SSSteven SatterlyDuke Medical Center KIKenji InabaUniversité Claude Bernard Lyon 1

Discussion

Member takes

Implication

Experimental study reveals high failure rates of needle thoracostomy for tension pneumothorax in swine, indicating standard needle decompression may be inadequate during emergencies.

Key Points

To evaluate the effectiveness of a properly placed, patent needle thoracostomy compared with standard tube thoracostomy in a swine model of tension pneumothorax.
Tension pneumothorax was induced in 6 adult swine via continuous 1 L/min thoracic carbon dioxide insufflation to simulate an ongoing air leak.
The efficacy of a 14-gauge needle thoracostomy was compared with a 34F tube thoracostomy across two scenarios: hemodynamic compromise and pulseless electrical activity.
In the hemodynamic compromise arm, needle thoracostomy had an overall failure rate of 58% (mechanical failure in 26% and physiologic failure in 43% of patent needles), whereas tube thoracostomy was 100% successful.
In the pulseless electrical activity arm, needle thoracostomy failed to restore perfusion in 64% of events (9/14), compared with 100% success for primary tube thoracostomy and an 88% rescue success rate after needle failure.

Cite This Study

Martin et al. (2012) studied this question.

synapsesocial.com/papers/6aaa2db1783e6550cf1bfaf0 https://doi.org/10.1097/ta.0b013e31825ac511

Also Consider

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