Advanced Breathing (Thoracentesis)

Question 1

What is thoracentesis? (1)

Answer 1

Thoracentesis is the insertion of cannula /tube into the pleural space for the removal of blood or air that may have accumulated causing compression and hypoxia

Question 2

What are the two types of thoracentesis? (2)

Answer 2

• Tube
• Needle

Question 3

What is needle thoracentesis?

Answer 3

Needle thoracentesis is the insertion of wide bore cannula through the 2nd intercostal space in the mid-clavicular line, on affected side to alleviate a life threatening tension pneumothorax

Question 4

What are the indications of needle thoracentesis? (3)

Answer 4

• MOI
• Tension pneumothorax
• Developed open pneumothorax

Question 5

What are the potential complications of needle thoracentesis? (3)

Answer 5

• Local haematoma
• Local/pleural infection
• Pneumothorax

Question 6

What is tube thoracentesis? (1)

Answer 6

Tube thoracentesis is the insertion of a chest drain tube in through the 5th intercostal space slightly anterior to the mid axillary line, on the affected side to remove air or blood

Question 7

What are the indications of tube thoracentesis? (3)

Answer 7

• Massive haemothorax
• Haemothorax
• Pneumothorax

Question 8

What are the potential complications of tube thoracentesis? (7)

Answer 8

• Blocked/kinked chest tube
• Dislodged chest tube
• Back flow
• Haematoma
• Local or pleural infection
• Incorrect tube placement
• Damage to intra-thoracic organs