The nipple as a landmark for needle decompression of tension pneumothorax in children - a CT-based evaluation and proposal of an alternative insertion site.

Conclusions: When performing anterior needle decompression in children, we recommend inserting the needle at the more lateral insertion site at the 2nd intercostal space at the nipple line. At the lateral decompression sites, the nipple can be used as a marker for localizing the correct intercostal space for insertion and thereby ensuring enough caudad distance to the diaphragm to avoid abdominal injury. PMID: 33026282 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/33026282?dopt=Abstract

Source: Prehospital Emergency Care - October 9, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research