Meta-analysis of the optimal needle length and decompression site for tension pneumothorax and consensus recommendations on current ATLS and ETC guidelines

Meta-analysis of the optimal needle length and decompression site for tension pneumothorax and consensus recommendations on current ATLS and ETC guidelines

Abstract Background Tension pneumothorax (TP) is a life-threatening condition. The immediate recommended management is needle decompression (ND), followed by the insertion of an intercostal chest drain. The European Trauma Course (ETC) and the Advanced Trauma Life Support (ATLS) guidelines differ on...

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Main Authors: Suhaib J. S. Ahmad, Jason R. Degiannis, Marion Head, Ahmed R. Ahmed, Edgar Gelber, Sherif Hakky, Armin Kieser, Martin Müller, John Darling, Dominik A. Jakob, Ioannis Panagiotis Kyriazidis, Konstantinos Degiannis, Patrick Dorn, Anil Lala, Christopher Bowman, Danielle Wilkinson, Graham Whiteley, Umair Hassan, Younis Mohamed, Kai Hui Loo, Ynyr Dewi Davies, Richard Egan, Sjaak Pouwels, Amber Coulthard, Lowri Churchill, Kiran Bhavra, Christopher Bailey, Ian Johnson, Ifan Rees, Dafydd Williams, Shahab Hajibandeh, Wah Yang, Christian Peter Subbe, Amy Owen, David Rawaf, Ameer Khamise, Ali Waleed Khalid, Chetan Parmar, J. Agustin Soler, Miriam Khalil, Ata Mohajer-Bastami, Sarah Moin, Rami Archid, Mohamed Abdulmajed, Rosalind Jones, Vignesh Balasubaramaniam, Rawa Al-Salihi, Arran Shoker, Mei-Ju Hwang, Olga Griffiths, Sushil Pandey, Lucy Lee-Smith, Aristomenis K. Exadaktylos
Format: Article
Language:English
Published: BMC 2025-05-01
Series:World Journal of Emergency Surgery
Subjects:
Tension pneumothorax
Needle decompression
Chest wall thickness
Needle length
Intercostal space
Iatrogenic injury
Online Access:https://doi.org/10.1186/s13017-025-00613-7
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https://doi.org/10.1186/s13017-025-00613-7

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