Article Text

Download PDFPDF
Life threatening haemorrhage after anterior needle aspiration of pneumothoraces. A role for lateral needle aspiration in emergency decompression of spontaneous pneumothorax
  1. R Rawlins1,
  2. K M Brown2,
  3. C S Carr2,
  4. C R Cameron3
  1. 1King’s College Hospital, London, UK
  2. 2St Thomas’s Hospital, London, UK
  3. 3Guy’s Hospital, London, UK
  1. Correspondence to:
 Dr R Rawlins, 28 Caspian Way, Swanscombe, Kent DA10 0LE, UK; 


Needle aspiration is a recognised emergency treatment of spontaneous pneumothorax and in the case of suspected tension is usually performed before chest radiography. Three cases are described of apparent life threatening haemorrhage after anterior aspiration in the second intercostal space, mid-clavicular line (2ICS MCL) requiring resuscitation, and transfer to a cardiothoracic unit. In these patients there was no evidence of haemothorax on initial presentation. Lateral needle aspiration, in the site recommended for chest drain insertion, the 5th intercostal space, anterior axillary line (5ICS ALL) is technically easy and may be a potentially safer option for decompressing pneumothoraces.

  • tension pneumothorax
  • decompression aspiration

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.