[Invasive techniques in emergency medicine. II. Preclinical thorax drainage--indications and technique].
The preclinical tension pneumothorax which even without technical support is easily recognizable, requires immediate decompression. However, there are a number of patients with thoracic injuries such as serial rib fractures or palpable skin emphysema which--in combination with a ventilator--may necessitate the insertion of a thoracic tube. In the preclinical setting this procedure usually only takes place in the ventilated patient. With patients who are respiratorily compensated and are breathing spontaneously, careful control and a conservative approach is advised even if pneumothorax is suspected.
Aul
A
A
Abteilung für Anästhesie, Intensivmedizin und Schmerztherapie, BG Unfallklinik, Ludwigshafen/Rh. aul@bgu-ludwigshafen.de
Klose
R
R
D002245:Carbon Dioxide / Q000097:blood; D004322:Drainage; D004632:Emergency Medical Services / Q000379:methods*; D004635:Emergency Medicine / Q000379:methods*; D006801:Humans; D011030:Pneumothorax / Q000175:diagnosis / Q000628:therapy*; D012121:Respiration, Artificial; D012129:Respiratory Function Tests; D013898:Thoracic Injuries / Q000175:diagnosis / Q000628:therapy*
D002245:Carbon Dioxide