emergent thoracostomy
Emergency placement of a chest tube to relieve pneumothorax or hemothorax in critically ill patients requiring immediate decompression.
Full Definition
Emergent thoracostomy involves the urgent placement of a chest tube through the pleural space to treat life-threatening pneumothorax or hemothorax. The procedure is performed at the bedside in emergency situations, typically inserting a large-bore chest tube through the fourth or fifth intercostal space at the anterior axillary line. Indications include tension pneumothorax after needle decompression, massive hemothorax, or significant pneumothorax in mechanically ventilated patients. The procedure requires understanding of anatomical landmarks, sterile technique when possible, and immediate connection to underwater seal drainage systems.
Usage
Usage note: Document chest tube size, insertion site, and immediate drainage output.
In Context
- "Emergent thoracostomy was performed for massive hemothorax with 1200mL immediate output." — Trauma surgery procedure note
- "The patient required emergent thoracostomy following tension pneumothorax development during mechanical ventilation." — Critical care documentation