Thoracentesis /ˌθɔːrəsɪnˈtiːsɪs/, also known as thoracocentesis (from Greek θώραξ thōrax ‘chest, thorax’—GEN thōrakos—and κέντησις kentēsis ‘pricking, puncture’), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space …
Also know, can a nurse perform needle decompression?
The Practice and Education (P & E) Committee has carefully considered the issue of registered nurses performing needle decompression for the treatment of tension pneumothorax. Pursuant to 405.01, appropriate training and competency is a requirement for performing nurse care.
One may also ask, can needle decompression cause pneumothorax?
If a pneumothorax but not a tension pneumothorax is present, needle decompression creates an open pneumothorax. Alternatively, if no pneumothorax exists, the patient may develop a pneumothorax after the needle decompression is performed.
What is decompression needle?
A needle decompression involves inserting a large bore needle in the second intercostal space, at the midclavicular line. Once this is done, there should be an audible release as the trapped air, and as the tension is released the patient should begin to improve.
This module discusses needle aspiration of a pneumothorax, where a needle is inserted into the intrapleural space and air is aspirated to achieve re-expansion of the lung. This treatment is appropriate for a simple primary pneumothorax with only 15-30% collapse.
Needle thoracostomy is indicated for emergent decompression of suspected tension pneumothorax. Tube thoracotomy is indicated after needle thoracostomy, for simple pneumothorax, traumatic hemothorax, or large pleural effusions with evidence of respiratory compromise.
Thoracocentesis, also known as thoracentesis or pleural tap, is an invasive procedure to remove fluid or air from the pleural space for diagnostic or therapeutic purposes. A cannula, or hollow needle, is carefully introduced into the thorax, generally after administration of local anesthesia.
Thoracentesis is a procedure that is performed to remove fluid or air from the thoracic cavity for both diagnostic and/or therapeutic purposes.  Thoracentesis is also known as thoracocentesis, pleural tap, needle thoracostomy, or needle decompression.
Pneumothorax is when air collects in between the parietal and viscera pleurae resulting in lung collapse. It can happen secondary to trauma (traumatic pneumothorax). When mediastinal shifts accompany it, it is called a tension pneumothorax. This is a life-threatening emergency that needs urgent management.
The preferred insertion site is the 2nd intercostal space in the mid-clavicular line in the affected hemithorax. However, insertion of the needle virtually anywhere in the correct hemothorax will decompress a tension pneumothorax.
The goal of needle decompression in the field is to emergently relieve a large amount of pressure that has become trapped in the pleural space. While it can be lifesaving, it is only a temporizing measure and still needs definitive care which typically involves a tube thoracostomy.