INDICATION AND

CONTRAINDICATION
 NEEDLE DECOMPRESSION
• Indication:
1. For relief of tension pneumothorax in • Contraindication:
the adult patient. 1. Not intended for treatment of
• Consider treatment of tension simple pneumothorax or
pneumothorax when one or more the hemothorax.
following present:
1. Severe or progressive respiratory
distress
2. Severe or progressive tachypnea
3. Absent or markedly decreased breath
sound
4. Oxygen saturation <90%
5. Shock
6. Traumatic cardiac arrest without Sumber: North American Rescue, SPEAR
obvious fatal wounds decompression needle system
 TUBE THORACOSTOMY
INDICATIONS CONTRAINDICATIONS
• Pneumothorax • Coagulopathy
• Hemothorax • Pulmonary bullae
• Hemopneumothorax • Pulmonary, pleural or thoracic
adhesion
• Hydrothorax
• Loculated pleural effusion or
• Chylothorax empyema
• Empyema • Skin infection over the insertion
• Pleural effusion site
Sumber:
https://emedicine.medscape.com/article/80678-
overview#a1