Images and videos
Images
Pneumothorax
Anterior-posterior chest x-ray demonstrating a right pneumothorax
From the collection of Dr Ryland P. Byrd
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Pneumothorax
BTS clinical pathway decision tree for pneumothorax. COPD, chronic obstructive pulmonary disease; CXR, chest x-ray; OPD, outpatient department; PSP, primary spontaneous pneumothorax; SSP, secondary spontaneous pneumothorax
Roberts ME et al. Thorax 2023; 78: 1143-56; used with permission
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Pneumothorax
UK guidelines advise using the level of the hilum to measure the size of a pneumothorax. However, other countries may use other methods; for example US guidelines use the distance from the lung apex to the cupola, but this method would tend to overestimate the volume of a localised apical pneumothorax.
Copyright © BMJ Publishing Group Ltd and British Thoracic Society. All rights reserved.
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Videos
Needle decompression of tension pneumothorax animated demonstrationHow to decompress a tension pneumothorax. Demonstrates insertion of a large-bore intravenous cannula into the fourth intercostal space in an adult.
Insertion of intercostal drain, Seldinger technique: animated demonstrationHow to insert an intercostal (chest) drain using the Seldinger technique. Video demonstrates: how to identify a safe site for insertion; use of an introducer needle, guidewire, dilators, and intercostal drain; how to confirm drain position; and post-procedure care.
Insertion of intercostal drain, open technique: animated demonstrationHow to insert an intercostal (chest) drain using the open technique. Video demonstrates: tube selection, how to identify the site for drain insertion, how to make the correct incision, how to insert the intercostal drain, how to secure the drain, and post-procedure care.
Pleural aspiration animated demonstrationVideo demonstrating how to perform a pleural aspiration
- Insertion of intercostal drain, Seldinger technique: animated demonstration
How to insert an intercostal (chest) drain using the Seldinger technique. Video demonstrates: how to identify a safe site for insertion; use of an introducer needle, guidewire, dilators, and intercostal drain; how to confirm drain position; and post-procedure care.
- Insertion of intercostal drain, open technique: animated demonstration
How to insert an intercostal (chest) drain using the open technique. Video demonstrates: tube selection, how to identify the site for drain insertion, how to make the correct incision, how to insert the intercostal drain, how to secure the drain, and post-procedure care.
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