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학습 자료 둘러보기 →Suspect tension pneumothorax in any ventilated patient with sudden onset of severe chest pain, respiratory distress, hypotension, and high peak airway pressure alarms. Tracheal deviation and absent breath sounds are late signs.
Do not wait for imaging if tension physiology is clinically obvious. The priority is immediate decompression. Prepare for emergency needle decompression (large-bore IV catheter in the 2nd intercostal space, midclavicular line) followed by definitive chest tube insertion.
While preparing for the procedure, temporarily increase FiO2 to 100%. Do not increase PEEP or tidal volume, as this will worsen air trapping and hemodynamic compromise.
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