Top
10
Doctor insights on: Tension Pneumothorax

Share
Dr. Cynthia Archer
71 doctors shared insights

Tension Pneumothorax (Overview)

This is a life threatening condition which occurs when increasing amount of air gets trapped in the pleural space. It results in lung collapse, shifting of trachea, heart and large blood vessels within chest, to the opposite side. This also prevents the blood from returning to the heart. This leads to low blood pressure and death if not treated emergently.


1

1
What are symptoms of hemothorax vs. Tension pneumothorax?

What are symptoms of hemothorax vs. Tension pneumothorax?

Chest pain: Hemothorax and tension pneumothorax will both present with chest pain and shortness of breath. Both can also present with severely low blood pressure. However, this can depend on the amount of blood lost in a hemothorax. Both are considered surgical emergencies and need to be treated. ...Read more

Dr. Cynthia Archer
71 doctors shared insights

Tension Pneumothorax (Overview)

This is a life threatening condition which occurs when increasing amount of air gets trapped in the pleural space. It results in lung collapse, shifting of trachea, heart and large blood vessels within chest, to the opposite side. This also prevents the blood from returning to the heart. This leads to low blood pressure and death if not treated emergently.


2

2
My doc says that respiraory alkalosis is a sign of a tension pneumothorax but why?

My doc says that respiraory alkalosis is a sign of a tension pneumothorax but why?

Can be: Hyperventilation can lead to a respiratory alkalosis by increasing the amount of carbon dioxide that you exhale. When this happens the overall ph of your increases because co2 elimination is linked to the activity of enzymes in your blood that convert hydrogen ions to co2. Even a small pneumothorax may result in a degree of respiratory distress, leading to high breathing rate. ...Read more

3

3
What is the differential diagnosis of hemothorax vs. Tension pneumothorax?

What is the differential diagnosis of hemothorax vs. Tension pneumothorax?

What is in the chest: Tension pneumothorax occurs when air under pressure fills the space around the lung. This can compress the heart and impede blood from entering the heart. Hemothorax occurs when blood is filling the space around the lungs. You can have both air and blood in your chest. Both conditions can be dangerous and require management by a physician. ...Read more

4

4
How do you know who is most likely to get tension pneumothorax?

How do you know who is most likely to get tension pneumothorax?

Trauma, other: Prior to a tension pneumothorax there is a usually a traumatic event that leaves a hole in the lung and no mechanism for that air to leave. Other causes of tension pneumothorax (spontaneous, emphysema, endometriosis(in the chest), rare genetic causes) are not so predictable... And even most folks with chest trauma don't get one (stab wounds and bullets tend to leave a hole for the air to leave). ...Read more

See 1 more doctor answer
5

5
Can you tell me for what cause of tension pneumothorax should a nurse check?

Can you tell me for what cause of tension pneumothorax should a nurse check?

Many causes: If the pneumothorax creates a lot of pressure/air buildup in the chest, it can compress the veins draining into the heart and cause the heart to stop beating. This is called Tension Pneumothorax, and it is a medical emergency. If not promptly treated, it can cause death. As far as causes, it can be out of nowhere (called spontaneous), or as a complication of a procedure like a central line. ...Read more

6

6
How can I treat tension pneumothorax?

How can I treat tension pneumothorax?

Needle Decompression: Tension pneumothorax is one of the few medical emergencies where a life can be saved or lost in a matter of minutes if not recognized early. While diagnosis can be difficult, treatment is a simple, rapid needle decompression of the pleural space by inserting a large bore angiocatheter just above the 3rd rib. With the patient stabilized a larger chest tube is placed until the pneumothorax resolves. ...Read more

See 1 more doctor answer
7

7
What does "icc" stand for with regards to a tension pneumothorax treatment?

What does "icc" stand for with regards to a tension pneumothorax treatment?

Intercostal catheter: Icc stands for intercostal catheter that is used to drain the air out of the chest in case of a tension pneumothorax. This tube is inserted in the space between ribs to reach the inside of chest cavity on the involved side & the other end of this tube is kept under water seal with/without suctioning to completely drain the air out of chest cavity. It is left in place until pneumothorax resolves. ...Read more

See 1 more doctor answer
8

8
How can I treat tension pneumothorax?

Needle Decompression: Tension pneumothorax is one of the few medical emergencies where a life can be saved or lost in a matter of minutes if not recognized early. While diagnosis can be difficult, treatment is a simple, rapid needle decompression of the pleural space by inserting a large bore angiocatheter just above the 3rd rib. With the patient stabilized a larger chest tube is placed until the pneumothorax resolves. ...Read more

See 1 more doctor answer
9

9
How debilitating is a tension pneumothorax?

Can be deadly: Tension pneumothorax occurs when pressure builds up in one side of the chest and collapses the lung. This is rapidly fatal and is treated as an emergency. Once it is released, a tube is left in the chest for a few days. After it is removed, people usually recover completely. ...Read more

See 1 more doctor answer
10

10
What is something is is similar to a tension pneumothorax?

MI: The symptoms associated with a tension pneumothorax consist of chest pain, shortness of breath, and hypotension if it continues to progress. The problem which mimics this is an acute myocardial infarction, or hesrt attack. A chest xray will be able to tellthe ddifference. ...Read more