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Originally Posted by swatsurgeon
Unless you are on positive pressure, i.e., a ventilator or are being bagged via an endo tracheal tube....another reason I like the one way valves we use (walmart fish tank) to not allow air back in once it escapes the pleural cavity. Most people tolerate a simple pneumothorax very well....don't like it for long periods of time, but generally can maintain adequate oxygenation and ventilation for awhile...it's the tension that gets you. We carry a Cook wire wrapped decompression neeedle since the standard jelco 16 G 5cm needles love to bend and kink...we teach and preach, once decompressed, re-eval and if ANY changes to RR, HR, BP, decompress again....and again....and again.
ss
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10G with a flapper valve is what we would use. Obviously the proper definitive treatment is a chest tube, and we carried those as well. With a 1 way valve on a chest tube, why would you clamp it off? The doctors that taught me how to do the procedure said clamping is a bad thing...