Needle Thoracocentesis - Underpinning Knowledge

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Author:
boyblue666
ID:
233769
Filename:
Needle Thoracocentesis - Underpinning Knowledge
Updated:
2013-09-09 11:15:09
Tags:
Needle Thoracocentesis EEAST Module
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Description:
Underpinning knowledge required for needle Thoracocentesis ing EEAST OSCE
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  1. Indications
    • FLAPS TWELV
    • F - Feel
    • L - Look
    • A - Auscultate
    • P - Percuss

    • T - Tracheal Deviation - Preterminal Sign
    • W - Wounds
    • E - Surgical emphysema
    • L - Laryngeal crepitus (Absent)
    • V - Venous Distension

    • Tachycardia
    • Tachypnoea
    • Hypoxia
    • Patient Distressed
  2. Possible Complications
    • Intercostal vascular damage
    • Nerve damage
    • Incorrect placing may damage the lung
    • Less effective in patients with substantial fatty chests / muscular - consider mid-auxilla 4/5 intercostal space for this.
  3. Cautions
    If the patient is intubated, check that the tube placement to make sure that R main bronchus is not only being ventillated.

    Extreme caution should be exercised with bilateral chest decompression, in patients who are not being ventillated with positive pressure ventillation.

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