You have just inserted a large-bore catheter into the chest of a patient with a tension pneumothorax and received a return of air. Which of the following should NOT be done?
A) Insert a second, or even a third, catheter if the patient is symptomatic, despite the release of air.
B) Leave the catheter in place, and create a flutter valve.
C) Leave the catheter in place and open to air.
D) Remove the catheter.

Question

Quizplus · Accepted Answer

Removing the catheter would allow the pneumothorax to reaccumulate, potentially worsening the patient's condition. The catheter should remain in place to allow continuous decompression of the pleural space.

You Have Just Inserted a Large-Bore Catheter into the Chest