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Journal articles on the topic 'Tension pneumothorax’s decompression'

Author: Grafiati

Published: 24 April 2022

Last updated: 30 July 2025

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1

Beaven, Alastair, James Harrison, Keith Porter, and Richard Steyn. "Clinical suspicion regarding needle decompression for patients with chest trauma." Journal of Paramedic Practice 11, no. 8 (2019): 330–34. http://dx.doi.org/10.12968/jpar.2019.11.8.330.

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Background: Needle decompression of the chest is indicated for patients in a critical condition with rapid deterioration who have a life-threatening tension pneumothorax. Aim: To reassure UK prehospital care providers that needle decompression of the chest is not commonly required in chest trauma patients, and most can be safely managed without it. Methods: Case studies as part of a major trauma network continuous review process have revealed instances of needle decompression in the absence of tension pneumothorax. Images are presented where needle decompression was attempted in the absence of

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Pradana, Aditya Doni. "Spontaneous Tuberculosis-Associated Tension Pneumothorax: A Case Report and Literature Review." Case Reports in Acute Medicine 3, no. 2 (2020): 35–39. http://dx.doi.org/10.1159/000508530.

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Secondary spontaneous pneumothorax (SSP) is one of the major complications of pulmonary tuberculosis (TB), and it can be a life-threatening condition if it progresses to tension pneumothorax. A correct initial assessment and prompt intervention will prevent a hemodynamic deterioration in tension pneumothorax. Needle decompression followed by large-bore chest tube insertion is usually required in the management of SSP. We present a case of spontaneous TB-associated tension pneumothorax in a young adult which resolved with needle decompression without chest tube insertion.

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Hecker, Matthias, Katrin Hegenscheid, Henry Völzke, et al. "Needle decompression of tension pneumothorax." Journal of Trauma and Acute Care Surgery 80, no. 1 (2016): 119–24. http://dx.doi.org/10.1097/ta.0000000000000878.

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4

Welch, Julie L., and Nicholas Saltarelli. "Tension pneumothorax: Lateral needle decompression." Visual Journal of Emergency Medicine 10 (January 2018): 118–19. http://dx.doi.org/10.1016/j.visj.2017.11.022.

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5

Wisman, Christianto, and Boby Yaputra. "Failure of First Attempt Needle Decompression in Tension Pneumothorax: Case Report." Archives of The Medicine and Case Reports 3, no. 1 (2022): 241–45. http://dx.doi.org/10.37275/amcr.v3i1.172.

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Tension pneumothorax can occur as a potentially life threatening complication of chest trauma. Tension pneumothorax is commonly treated with needle decompression, both the 2nd intercostal space in the midclavicular line and the 4th/5th intercostal space in the anterior axillary. A 45 years old man came to our emergency department after blunt injury of the chest presenting tension pneumothorax with unstable hemodynamic treated with needle decompression using 14 gauge (4.5 cm) cannula at 2nd intercostal space mid clavicular line, patient successfully recover and became hemodynamic stable, after

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6

Banham, Neil, Elisabete da Silva, and John Lippmann. "Cerebral arterial gas embolism (CAGE) during open water scuba certification training whilst practising a controlled emergency swimming ascent." Diving and Hyperbaric Medicine Journal 53, no. 4 (2023): 345–50. http://dx.doi.org/10.28920/dhm53.4.345-350.

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We report the case of a 23-year-old male novice diver who sustained cerebral arterial gas embolism (CAGE) during his open water certification training whilst practising a free ascent as part of the course. He developed immediate but transient neurological symptoms that had resolved on arrival to hospital. Radiological imaging of his chest showed small bilateral pneumothoraces, pneumopericardium and pneumomediastinum. In view of this he was treated with high flow normobaric oxygen rather than recompression, because of the risk of development of tension pneumothorax upon chamber decompression. T

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7

Herron, Holly, and Robert E. Falcone. "Prehospital decompression for suspected tension pneumothorax." Air Medical Journal 13, no. 10 (1994): 420. http://dx.doi.org/10.1016/s1067-991x(05)80040-9.

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8

Herron, Holly, and Robert E. Falcone. "Prehospital decompression for suspected tension pneumothorax." Air Medical Journal 14, no. 2 (1995): 69–74. http://dx.doi.org/10.1016/s1067-991x(95)90098-5.

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9

Koeshardiandi, Mirza, Zulfikar Loka Wicaksana, Bambang Pujo Semedi, and Yoppie Prim Avidar. "Effectiveness and Safety of Prolonged Needle Decompression Procedures in Tension Pneumothorax Patients with COVID-19." Indonesian Journal of Anesthesiology and Reanimation 4, no. 1 (2022): 47. http://dx.doi.org/10.20473/ijar.v4i12022.47-54.

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Introduction: Coronavirus disease-19 (COVID-19) has become a pandemic that is still ongoing today. This is a new challenge for health workers in handling emergency cases. Several COVID-19 patients arrived at the hospital with severe respiratory problems. Meanwhile, other pathological conditions causing respiratory failure must also be considered, such as pneumothorax. Objective: This study aimed to examine the effective emergency procedures to treat COVID-19 cases with tension pneumothorax. Case report: A 45-year-old male patient arrived with a referral letter from a pulmonologist with a diagn

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10

Lubin, Dafney, Andrew L. Tang, Randall S. Friese, et al. "Modified Veress needle decompression of tension pneumothorax." Journal of Trauma and Acute Care Surgery 75, no. 6 (2013): 1071–75. http://dx.doi.org/10.1097/ta.0b013e318299563d.

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11

Chan, Stewart Siu Wa. "Tension Pneumothorax Managed Without Immediate Needle Decompression." Journal of Emergency Medicine 36, no. 3 (2009): 242–45. http://dx.doi.org/10.1016/j.jemermed.2007.04.012.

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12

Al Shetawi, AlHaitham, Leonard Golden, and Michael Turner. "Anesthetic Complication during Maxillofacial Trauma Surgery: A Case Report of Intraoperative Tension Pneumothorax." Craniomaxillofacial Trauma & Reconstruction 9, no. 3 (2016): 251–54. http://dx.doi.org/10.1055/s-0036-1572504.

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Tension pneumothorax is a life-threatening emergency that requires a high index of suspension and immediate intervention to prevent circulatory collapse and death. Only five cases of pneumothorax were described in the Oral and Maxillofacial Surgery literature. All cases were postoperative complications associated with orthognathic surgery. We report a case of intraoperative tension pneumothorax during a routine facial trauma surgery requiring emergency chest decompression. The possible causes, classification, and reported cases will be presented.

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13

HOSTETLER, MARK A., and COLLEEN O. DAVIS. "Bilateral localized tension pneumothoraces refractory to needle decompression." Pediatric Emergency Care 15, no. 5 (1999): 322–24. http://dx.doi.org/10.1097/00006565-199910000-00005.

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14

Boccar, S., R. Rubay, M. Richard, et al. "Unusual cause of obstructive shock following esophagectomy: a case report." Acta Anaesthesiologica Belgica 72, no. 4 (2021): 187–90. http://dx.doi.org/10.56126/72.4.5.

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Obstructive shock usually has an intrathoracic origin, such as pneumothorax, pericardial tamponade or pulmonary embolism. We report a case of hemo- dynamic shock in a 74-year-old patient four days after esophagectomy, just after the start of mechanical ventilation for bilateral pneumonia. The sudden onset of severe abdominal distension and the presence of air in the intra-abdominal drain suggested tension pneumoperitoneum, confirmed by radiography. No pneumothorax was associated. Urgent decompression was required to improve hemodynamics. Perforation of the gastrointestinal tract was ruled out.

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Bach, P. T., and C. Sølling. "Failed needle decompression of bilateral spontaneous tension pneumothorax." Acta Anaesthesiologica Scandinavica 59, no. 6 (2015): 807–10. http://dx.doi.org/10.1111/aas.12538.

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16

Ahmed-Nusrath, A., M. A. Nusrath, and R. Annamaneni. "Faecal mediastinitis following decompression of suspected tension pneumothorax." Emergency Medicine Journal 24, no. 12 (2007): 830. http://dx.doi.org/10.1136/emj.2006.045328.

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Ahmed-Nusrath, A., M. A. Nusrath, and R. Annamaneni. "Faecal mediastinitis following decompression of suspected tension pneumothorax." Case Reports 2009, feb04 1 (2009): bcr2006045328. http://dx.doi.org/10.1136/bcr.2006.045328.

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18

Naik, Nimesh D., Matthew C. Hernandez, Jeff R. Anderson, Erika K. Ross, Martin D. Zielinski, and Johnathon M. Aho. "Needle Decompression of Tension Pneumothorax with Colorimetric Capnography." Chest 152, no. 5 (2017): 1015–20. http://dx.doi.org/10.1016/j.chest.2017.04.179.

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19

Prasad, Nimitha, and Sucheta S. Gaiwal. "A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter." Annals of Cardiac Anaesthesia 28, no. 1 (2025): 72–75. https://doi.org/10.4103/aca.aca_51_24.

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ABSTRACT We report a case of a 74-year-old female with a retrosternal goiter undergoing video-assisted thoracic surgery (VATS) for a left lung lower lobectomy, necessitating one-lung ventilation (OLV). We encountered a highly unusual complication: contralateral tension pneumothorax. Forty-five minutes into the surgical procedure, a sudden cardiovascular collapse occurred. After confirming the correct positioning of the double-lumen tube and excluding mediastinal mass syndrome (MMS), tension pneumothorax was suspected. Immediate needle decompression followed by right chest tube thoracostomy res

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20

Clemency, Brian M., Christopher T. Tanski, Michael Rosenberg, Paul R. May, Joseph D. Consiglio, and Heather A. Lindstrom. "Sufficient Catheter Length for Pneumothorax Needle Decompression: A Meta-Analysis." Prehospital and Disaster Medicine 30, no. 3 (2015): 249–53. http://dx.doi.org/10.1017/s1049023x15004653.

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AbstractIntroductionNeedle thoracostomy is the prehospital treatment for tension pneumothorax. Sufficient catheter length is necessary for procedural success. The authors of this study determined minimum catheter length needed for procedural success on a percentile basis.MethodsA meta-analysis of existing studies was conducted. A Medline search was performed using the search terms: needle decompression, needle thoracentesis, chest decompression, pneumothorax decompression, needle thoracostomy, and tension pneumothorax. Studies were included if they published a sample size, mean chest wall thic

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21

Hetzman, László, Ákos Sóti, Péter Temesvári, et al. "Emergency thoracostomy as a safe and effective intervention in prehospital trauma." Magyar Traumatológia Ortopédia Kézsebészet Plasztikai Sebészet 67, no. 1 (2024): 23–29. http://dx.doi.org/10.21755/mto.2024.067.0001.003.

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Traumatic tension pneumothorax is one of the most frequent causes of early mortality among the severely injured. Different methods are recommended for chest decompression. The aim of this study is to examine whether emergency thoracostomy can improve the real 30-day survival compared to the expected Revised Trauma Score (RTS) based survival, the Return of Spontaneous Circulation (ROSC) rate in Traumatic Cardiac Arrest (TCA), reduce the occurrence of tension pneumothorax (tPTX) and to determine the complication rate of the intervention.

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22

Kilgour, Ian, and John Baxter. "Needle decompression in tension pneumothorax: anterior or lateral approach?" Journal of Paramedic Practice 13, no. 8 (2021): 325–31. http://dx.doi.org/10.12968/jpar.2021.13.8.325.

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Background: For tension pneumothorax, the UK recommendation is to use a 14 g, 5 cm cannula to decompress the chest. Advice around site selection differs between using the second intercostal space (ICS) mid-clavicular line or the fifth ICS near the mid-axillary line. The aim of this literature review is to determine the best approach for needle decompression using a standard 14 g, 5 cm cannula. Methods: A systematic search of multiple databases was conducted, using inclusion and exclusion criteria. Outcomes were tabulated to identify any trends between various criteria including success with a

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23

Hutchings, A. C., K. J. Darcy, and G. L. A. Cumberbatch. "Tension pneumothorax secondary to automatic mechanical compression decompression device." Emergency Medicine Journal 26, no. 2 (2009): 145–46. http://dx.doi.org/10.1136/emj.2006.035725.

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24

Bettoni, Giuseppe, Silvia Gheda, Michele Altomare, et al. "Successful Needle Aspiration of a Traumatic Pneumothorax: A Case Report and Literature Review." Medicina 60, no. 4 (2024): 548. http://dx.doi.org/10.3390/medicina60040548.

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Traumatic pneumothorax (PTX) occurs in up to 50% of patients with severe polytrauma and chest injuries. Patients with a traumatic PTX with clinical signs of tension physiology and hemodynamic instability are typically treated with an urgent decompressive thoracostomy, tube thoracostomy, or needle decompression. There is recent evidence that non-breathless patients with a hemodynamically stable traumatic PTX can be managed conservatively through observation or a percutaneous pigtail catheter. We present here a 52-year-old woman who presented to the emergency department with a 55 mm traumatic PT

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Phelan, James, Rengarajan Subramanian, and Adeep Krishnan Kutty Menon. "Acute atraumatic peri-arrest tension gastrothorax presenting to the emergency department." BMJ Case Reports 14, no. 4 (2021): e240478. http://dx.doi.org/10.1136/bcr-2020-240478.

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A 71-year-old woman was brought in by ambulance to the emergency department with sudden-onset difficulty in breathing whilst shopping at a large UK retail shopping centre. She had no respiratory history and portable chest X-ray revealed a huge gastrothorax, secondary pneumothorax and mediastinal shift. Clinical deterioration with haemodynamic instability required urgent decompression. Successful needle decompression followed by tube thoracostomy improved patient condition with no further complications. Surgical repair was performed but was delayed by COVID-19. This case provides a rare present

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26

Lesperance, Richard N., Colin M. Carroll, James K. Aden, Jason B. Young, and Timothy C. Nunez. "Failure Rate of Prehospital Needle Decompression for Tension Pneumothorax in Trauma Patients." American Surgeon 84, no. 11 (2018): 1750–55. http://dx.doi.org/10.1177/000313481808401130.

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Tension pneumothorax is commonly treated with needle decompression (ND) at the 2nd intercostal space midclavicular line (2nd ICS MCL) but is thought to have a high failure rate. Few studies have attempted to directly measure the failure rate in patients receiving the intervention. We performed a retrospective analysis of 10 years of patients receiving prehospital ND. CT scans were reviewed to record the location of catheters left indwelling and the proportion of patients who did not have any pneumothorax. Chest wall thickness was measured on both injured and uninjured sides at the 2nd ICS MCL

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27

Flower, Luke, John-Paul L. Carter, Juan Rosales Lopez, and Alun Marc Henry. "Tension pneumothorax in a patient with COVID-19." BMJ Case Reports 13, no. 5 (2020): e235861. http://dx.doi.org/10.1136/bcr-2020-235861.

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A 36-year-old man was brought to the emergency department with suspected COVID-19, following a 3-week history of cough, fevers and shortness of breath, worsening suddenly in the preceding 4 hours. On presentation he was hypoxaemic, with an SpO2 of 88% on 15 L/min oxygen, tachycardic and had no audible breath sounds on auscultation of the left hemithorax. Local guidelines recommended that the patient should be initiated on continuous positive airway pressure while investigations were awaited, however given the examination findings an emergency portable chest radiograph was performed. The chest

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Vinson, Eric D. "Improvised Chest Tube Drain for Decompression of an Acute Tension Pneumothorax." Military Medicine 169, no. 5 (2004): 403–5. http://dx.doi.org/10.7205/milmed.169.5.403.

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29

Martin, Matthew, Steven Satterly, Kenji Inaba, and Kelly Blair. "Does needle thoracostomy provide adequate and effective decompression of tension pneumothorax?" Journal of Trauma and Acute Care Surgery 73, no. 6 (2012): 1412–17. http://dx.doi.org/10.1097/ta.0b013e31825ac511.

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30

Kirkpatrick, Andrew W., Chad G. Ball, Monica Rodriguez-Galvez, and Rosaleen Chun. "Sonographic Depiction of the Needle Decompression of a Tension Hemo/Pneumothorax." Journal of Trauma: Injury, Infection, and Critical Care 66, no. 3 (2009): 961. http://dx.doi.org/10.1097/01.ta.0000244775.58507.b5.

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31

Sztajnkrycer, Matthew D. "Needle Thoracostomy by Non-Medical Law Enforcement Personnel: Preliminary Data on Knowledge Retention." Prehospital and Disaster Medicine 23, no. 6 (2008): 553–57. http://dx.doi.org/10.1017/s1049023x00006403.

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AbstractIntroduction:Tension pneumothorax is the second leading cause of preventable combat death. Although relatively simple, the management of tension pneumothorax is considered an advanced life support skill set. The purpose of this study was to assess the ability of non-medical law enforcement personnel to learn this skill set and to determine long-term knowledge and skill retention.Methods:After completing a pre-intervention questionnaire, a total of 22 tactical team operators completed a 90-minute-long training session in recognition and management of tension pneumothorax. Post-intervent

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32

Perice, Leland, Zhanna Roit, Ingrid Llovera, and Mary Flanagan-Kundle. "Spontaneous Pneumothorax as a Complication of COVID-19 Pneumonia: A Case Report." Clinical Practice and Cases in Emergency Medicine 4, no. 4 (2020): 521–23. http://dx.doi.org/10.5811/cpcem.2020.8.49139.

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Introduction: Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2. It typically presents with respiratory symptoms such as fevers, cough, and shortness of breath. As the number of cases increases, however, COVID-19 is being increasingly recognized as being associated with a variety of other respiratory pathologies. Case Report: We present the case of a 59-year-old man with COVID-19 pneumonia who acutely decompensated after having been on the medicine floor for two weeks. He was found to have a tension pneumothorax. This was treated with a needle

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Ciaraglia, Angelo, Alison Smith, Benjamin Axtman, et al. "Retrospective Matched Cohort Comparison of Prehospital Finger Thoracostomy and Needle Thoracostomy Performed by Ground Emergency Medical Services." International Journal of Paramedicine, no. 6 (April 3, 2024): 9–16. http://dx.doi.org/10.56068/xigr4635.

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Introduction: Tension pneumothorax related to chest trauma is a rapidly lethal condition that requires immediate treatment, often prior to arrival at definitive care. Recent concerns regarding the safety and efficacy of needle thoracostomy (NT) have led to alternatives. Finger thoracostomy (FT) is a potential life-saving treatment performed by prehospital providers as an alternative to NT. We hypothesize that FT has improved rates of prehospital thoracic decompression and is a safe alternative to NT. Materials and Methods: Retrospective cohort study of consecutive adult trauma patients p

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Gilbert, Timothy B., and Brian J. McGrath. "Tension Pneumothorax: Etiology, Diagnosis, Pathophysiology, and Management." Journal of Intensive Care Medicine 9, no. 3 (1994): 139–50. http://dx.doi.org/10.1177/088506669400900304.

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The normally air-free pleural cavity exists at subatmospheric pressure to promote pleural apposition and proper lung excursion. Owing to its unique bilayer structure, air introduced into this space either from within the thoracic cavity or from an extrathoracic source causes pleural separation and simple pneumothorax (PTX). Most simple pneumothoracies of a small or static volume in healthy patients do not appreciably impair cardiopulmonary function despite variable collapse of the lung. If increasing pressure develops within this pleural air collection, however, a cascade of pathophysiological

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Ledochowski, Stanislas, Grégory Axiotis, Florent Wallet, and Arnaud Friggeri. "Difficult needle decompression of bilateral tension pneumothoraces in an obese female patient." Intensive Care Medicine 40, no. 11 (2014): 1749–50. http://dx.doi.org/10.1007/s00134-014-3434-1.

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Wax, David B., and Andrew B. Leibowitz. "Radiologic Assessment of Potential Sites for Needle Decompression of a Tension Pneumothorax." Anesthesia & Analgesia 105, no. 5 (2007): 1385–88. http://dx.doi.org/10.1213/01.ane.0000282827.86345.ff.

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37

Dominguez, Kathleen M., A. Peter Ekeh, Kathryn M. Tchorz, et al. "Is routine tube thoracostomy necessary after prehospital needle decompression for tension pneumothorax?" American Journal of Surgery 205, no. 3 (2013): 329–32. http://dx.doi.org/10.1016/j.amjsurg.2013.01.004.

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38

Netto, Fernando Antonio Campelo Spencer, Harry Shulman, Sandro Baleotti Rizoli, Lorraine Norah Tremblay, Frederick Brenneman, and Homer Tien. "Are needle decompressions for tension pneumothoraces being performed appropriately for appropriate indications?" American Journal of Emergency Medicine 26, no. 5 (2008): 597–602. http://dx.doi.org/10.1016/j.ajem.2007.08.016.

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39

Choi, Hyeon Gil, Seong Doo Cho, and Nam Weon Song. "Bilateral Reexpansion Pulmonary Edema after Decompression of Intraoperative Tension Pneumothorax: A case report." Korean Journal of Anesthesiology 32, no. 2 (1997): 316. http://dx.doi.org/10.4097/kjae.1997.32.2.316.

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40

Malik, Ricat Hinaywan. "Penanganan Gawat Darurat Tension Pneumothorax Dengan Needle Thoracocentesis ICS ke-5 & Pemasangan Mini-WSD: A Case Report." Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice") 11, no. 2 (2020): 113. http://dx.doi.org/10.33846/sf11201.

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Background: Tension pneumothorax is an emergency with high mortality rate that can be handled with simple action. Besides due to many thoracic trauma, tension pneumothorax is rarely caused by infectious diseases such as pulmonary tuberculosis. During this time, the treatment is with needle thoracocentesis in the second intercostal space in mid-clavicle line and installation of chest tube-WSD in the fifth intercostal space. Objective: To discuss emergency treatment with limited facilities and resources in tension pneumothorax patients using needle thoracocentesis in the fifth intercostal space

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41

Alsamhari, Abdullah, Rafiulla Gilkaramenthi, Bader Hussain Alamer, et al. "Optimizing prehospital care: a comprehensive review of evidence-based protocols for tension pneumothorax management." Universa Medicina 44, no. 1 (2025): 113–28. https://doi.org/10.18051/univmed.2025.v44.113-128.

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It is of the utmost importance to diagnose and treat tension pneumothorax (TPX) as soon as possible, because if not recognized and treated, it may swiftly cause collapse of the respiratory and circulatory systems. An estimated 5% of people with serious thoracic injuries may die from this avoidable cause, making it a leading cause of death in trauma and prehospital situations. Methods for diagnosis, procedures for intervention, and strategies for training are the primary foci of this study, which aims to provide a synthesis of evidence-based protocols for the prehospital treatment of TPX. A lit

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42

Butler, Karyn L., Irwin M. Best, Wm Lynn Weaver, and Harvey L. Bumpers. "Pulmonary Artery Injury and Cardiac Tamponade after Needle Decompression of a Suspected Tension Pneumothorax." Journal of Trauma: Injury, Infection, and Critical Care 54, no. 3 (2003): 610–11. http://dx.doi.org/10.1097/01.ta.0000046380.92001.81.

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43

Saima, Khan, Ahmed Sadaf, and Noushad Shamoon. "Significance of radiographer awareness in Pneumothorax detection." International Journal of Endorsing Health Science Research 1, no. 1 (2013): 18–20. https://doi.org/10.29052/IJEHSR.v1.i1.2013.18-20.

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Abstract The purpose of the study is to aware and educated a radiographer of certain pathological conditions seen on chest xray specifically we are dealing with types and severity of pneumothorax and the quality of information a radiographer communicate to his primary team for evaluation. Radiographer can identify or detect pneumothorax by taking x-rays in three positions i-e upright, supine or decubitis with complete awareness of diverse conditions of pneumothorax. For suitable imaging radiographer should know about position, safety of the patient and the techniques of Breath holding during e

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44

Sanchez, Leon D., Shannon Straszewski, Amina Saghir, et al. "Anterior Versus Lateral Needle Decompression of Tension Pneumothorax: Comparison by Computed Tomography Chest Wall Measurement." Academic Emergency Medicine 18, no. 10 (2011): 1022–26. http://dx.doi.org/10.1111/j.1553-2712.2011.01159.x.

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45

Lander, O. M. "Anterior Versus Lateral Needle Decompression of Tension Pneumothorax: Comparison by Computed Tomography Chest Wall Measurement." Academic Emergency Medicine 12, Supplement 1 (2005): 66. http://dx.doi.org/10.1197/j.aem.2005.03.180.

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46

Leatherman, Matthew L., Jenny M. Held, Laura M. Fluke, et al. "Relative device stability of anterior versus axillary needle decompression for tension pneumothorax during casualty movement." Journal of Trauma and Acute Care Surgery 83 (July 2017): S136—S141. http://dx.doi.org/10.1097/ta.0000000000001488.

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47

Wang, Yanhu, Lei Wang, Cheng Chen, et al. "Safety and Risk Factors of Needle Thoracentesis Decompression in Tension Pneumothorax in Patients over 75 Years Old." Canadian Respiratory Journal 2023 (May 4, 2023): 1–8. http://dx.doi.org/10.1155/2023/2602988.

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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 midaxillar

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Boyle, Malcolm J., Brett Williams, and Simon Dousek. "Do mannequin chests provide an accurate representation of a human chest for simulated decompression of tension pneumothoraxes?" World Journal of Emergency Medicine 3, no. 4 (2012): 265. http://dx.doi.org/10.5847/wjem.j.issn.1920-8642.2012.04.005.

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Inaba, Kenji, Efstathios Karamanos, Dimitra Skiada, et al. "Cadaveric comparison of the optimal site for needle decompression of tension pneumothorax by prehospital care providers." Journal of Trauma and Acute Care Surgery 79, no. 6 (2015): 1044–48. http://dx.doi.org/10.1097/ta.0000000000000849.

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Hohenberger, G. M., A. Schwarz, F. Hohenberger, et al. "Evaluation of Monaldi’s approach with regard to needle decompression of the tension pneumothorax—A cadaver study." Injury 48, no. 9 (2017): 1888–94. http://dx.doi.org/10.1016/j.injury.2017.06.001.

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