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Pulmonary Barotrauma
Treatment of Pulmonary Barotrauma
100% oxygen Sometimes tube thoracostomy Suspected tension pneumothorax is treated with needle decompression followed by tube How To Do Tube and Catheter Thoracostomy . If a smaller (eg, 10 to 20%) pneumothorax is present and there is no sign of hemodynamic or respiratory instability, the pneumothorax may resolve when high-flow 100% oxygen is given for 24 to 48 hours. If this treatment is ineffective or if a larger pneumothorax is present, tube thoracostomy (using a pigtail catheter or small chest tube) is done. No specific treatment is required for pneumomediastinum; symptoms usually resolve spontaneously within hours to days. After a few hours of observation, most patients can be treated as outpatients; high-flow 100% oxygen is recommended to hasten resorption of extra-alveolar gas in these patients. Rarely, Mediastinoscopy and Mediastinotomy is required to relieve tension pneumomediastinum. 