Safety and Risk Factors of Needle Thoracentesis Decompression in Tension Pneumothorax in Patients over 75 Years Old

Background. There are very few professional recommendations or guidelines on the needle thoracentesis decompression (NTD) for the tension pneumothorax in the elderly. This study aimed to investigate the safety and risk factors of tension pneumothorax NTD in patients over 75 years old based on CT eva...

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Bibliographic Details
Published in:Canadian respiratory journal 2023, Vol.2023, p.2602988-8
Main Authors: Wang, Yanhu, Wang, Lei, Chen, Cheng, Que, Yifan, Li, Yinyi, Luo, Jiang, Yin, Ming, Lv, Miao, Xu, Guogang
Format: Article
Language:English
Subjects:
Age
Aged
Body mass index
Catheters
Chronic obstructive pulmonary disease
Decompression, Surgical - adverse effects
Humans
Needles - adverse effects
Ostomy
Patients
Pneumothorax
Pneumothorax - epidemiology
Pneumothorax - etiology
Pulmonary Disease, Chronic Obstructive - complications
Retrospective Studies
Risk Factors
Skin
Thoracentesis
Thoracic surgery
Thoracic Wall
Thoracostomy - adverse effects
Tomography
Trauma
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Summary:Background. There are very few professional recommendations or guidelines on the needle thoracentesis decompression (NTD) for the tension pneumothorax in the elderly. This study aimed to investigate the safety and risk factors of tension pneumothorax NTD in patients over 75 years old based on CT evaluation of the chest wall thickness (CWT). Methods. The retrospective study was conducted among 136 in-patients over 75 years old. The CWT and closest depth to vital structure of the second intercostal space at the midclavicular line (second ICS-MCL) and the fifth intercostal space at the midaxillary line (fifth ICS-MAL) were compared as well as the expected failure rates and the incidence of severe complications of different needles. We also analyzed the influence of age, sex, presence or absence of chronic obstructive pulmonary disease (COPD), and body mass index (BMI) on CWT. Results. The CWT of the second ICS-MCL was smaller than the fifth ICS-MAL both on the left and the right side (P
ISSN:1198-2241
1916-7245
DOI:10.1155/2023/2602988