Chest wall thickness in military personnel: implications for needle thoracentesis in tension pneumothorax.
Mil Med
; 172(12): 1260-3, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-18274025
ABSTRACT
Needle thoracentesis is an emergency procedure to relieve tension pneumothorax. Published recommendations suggest use of angiocatheters or needles in the 5-cm range for emergency treatment. Multidetector computed tomography scans from 100 virtual autopsy cases were used to determine chest wall thickness in deployed male military personnel. Measurement was made in the second right intercostal space at the midclavicular line. The mean horizontal thickness was 5.36 cm (SD = 1.19 cm) with angled (perpendicular) thickness slightly less with a mean of 4.86 cm (SD 1.10 cm). Thickness was generally greater than previously reported. An 8-cm angiocatheter would have reached the pleural space in 99% of subjects in this series. Recommended procedures for needle thoracentesis to relieve tension pneumothorax should be adapted to reflect use of an angiocatheter or needle of sufficient length.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumotórax
/
Paracentese
/
Parede Torácica
/
Medicina Militar
/
Militares
Tipo de estudo:
Guideline
/
Observational_studies
Limite:
Adult
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Mil Med
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos