Tension Pneumothorax

Steven Rogers -

What is Tension Pneumothorax?

Tension Pneumothorax is when air enters the pleural space (small area between the thin covering that cushions the lungs) but is unable to exit, causing a buildup. The buildup causes a shift in the intrathoracic structure which can lead to cardiac arrest.

What are the Potential Causes of Tension Pneumothorax?

  • Mechanical ventilation
  • Chest trauma

What are the Indicators of Hyperkalemia?

  • ECG: Narrow QRS but rate will decrease due to hypoxia
  • Exam: Tracheal deviation, distended neck veins, unequal breath sounds and difficult to ventilate

What is the Treatment for Tension Pneumothorax?

  • Needle decompression or tube thoracostomy (Chest tube)