Pneumothorax

Images

Pneumothorax

Anterior-posterior chest x-ray demonstrating a right pneumothorax

From the collection of Dr Ryland P. Byrd

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• Diagnosis Approach
• Tests

Pneumothorax

POCUS of the lung in a large pneumothorax. Shown is the ultrasound view showing A-lines that are reverberations of the pleural line. There is a lack of B-lines, which is also consistent with a pneumothorax. M-mode is placed on the patient and shows a ‘barcode sign’ confirming presence of air in the pleural space

From the personal collection of Chris Kapp, MD; used with permission

See this image in context in the following section/s:

• Diagnosis Approach

Pneumothorax

Entrapped lung with pneumothorax ex-vacuo. This patient had a malignant pleural effusion that had developed a thick visceral pleural cortical rind preventing re-expansion. Chest tube was for pleural effusion removal, not evacuation of air.

​From the personal collection of Chris Kapp, MD; used with permission

See this image in context in the following section/s:

• Diagnosis Approach

Videos

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  Needle decompression of tension pneumothorax: animated demonstration

  How to decompress a tension pneumothorax. Demonstrates insertion of a large-bore intravenous cannula into the fourth intercostal space in an adult.

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  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 postprocedure care.

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  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 postprocedure care.