• Der Anaesthesist · Dec 2004

    Review

    [Invasive techniques in emergency medicine. II. Preclinical thorax drainage--indications and technique].

    • A Aul and R Klose.
    • Abteilung für Anästhesie, Intensivmedizin und Schmerztherapie, BG Unfallklinik, Ludwigshafen/Rh. aul@bgu-ludwigshafen.de
    • Anaesthesist. 2004 Dec 1;53(12):1203-10.

    AbstractThe 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.

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