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Medical Health Encyclopedia
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Pneumothorax - chest X-ray
Pneumothorax - chest X-ray
Respiratory system
Respiratory system
Chest tube insertion  - series
Chest tube insertion - series


Tension pneumothorax

Alternative Names:

Pneumothorax - tension



Treatment:

If you have symptoms of tension pneumothorax, seek immediate medical treatment.

Text Continues Below



The objective of treatment is to remove the air from the pleural space, allowing the lung to re-expand. In an emergency, a small needle (such as a standard intravenous needle) may be placed into the chest cavity through the ribs to relieve the excessive pressure.

The definitive treatment is a chest tube, a large plastic tube that is inserted through the chest wall between the ribs to remove the air completely. The chest tube is attached to a vacuum bottle that slowly and continuously removes air from the chest cavity. This allows the lung to re-expand. As the lung heals and stops leaking air, the vacuum is turned down and then the chest tube is removed. Hospitalization is required for proper care of the chest tube and because several days may be required before the affected lung re-expands.

Surgery may be indicated for recurrent episodes or if the lung does not re-expand after 5 days with a chest tube in place.



Expectations (prognosis):

Up to 50% of patients who have a pneumothorax will have another. There are no long-term complications following successful therapy.



Complications:
  • Acute respiratory failure
  • Pneumomediastinum (air in the mediastinal space, which can interfere with heart and lung functioning)
  • Shock (extremely low blood pressure)
  • Death


Calling your health care provider:

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