Determining optimal needle size for decompression of tension pneumothorax in children - a CT-based study.

ABSTRACT:

Background

For neonates and children requiring decompression of tension pneumothorax, specific recommendations for the choice of needle type and size are missing. The aim of this retrospective study was to determine optimal length and diameter of needles for decompression of tension pneumothorax in paediatric patients.

Methods

Utilizing computed tomography, we determined optimal length and diameter of needles to enable successful decompression and at the same time minimize risk of injury to intrathoracic structures and the intercostal vessels and nerve. Preexisting computed tomography scans of the chest were reviewed in children aged 0, 5 and 10 years. Chest wall thickness and width of the intercostal space were measured at the 4th intercostal space at the anterior axillary

SUBMITTER: Leonhard G 

PROVIDER: S-EPMC6788035 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature