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Thoracic needle decompression for tension pneumothorax: clinical correlation with catheter length.

Chad G CG Ball, Amy D AD Wyrzykowski, Andrew W AW Kirkpatrick, Christopher J CJ Dente, Jeffrey M JM Nicholas, Jeffrey P JP Salomone, Grace S GS Rozycki, John B JB Kortbeek, and David V DV Feliciano

Can J Surg 53(3):184-8 (2010) PMID 20507791

Tension pneumothorax requires emergent decompression. Unfortunately, some needle thoracostomies (NTs) are unsuccessful because of insufficient catheter length. All previous studies have used thickness of the chest wall (based on cadaver studies, ultrasonography or computed tomography [CT]) to extrapolate probable catheter effectiveness. The objective of this clinical study was to identify the frequency of NT failure with various catheter lengths.

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