Needle Thoracocentesis - Underpinning Knowledge

  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.
Author
boyblue666
ID
233769
Card Set
Needle Thoracocentesis - Underpinning Knowledge
Description
Underpinning knowledge required for needle Thoracocentesis ing EEAST OSCE
Updated