Procedures //

Thoracic Vent Placement by Alexandra Dyer, MD: Patient consented, sterilely draped, full prep, gown, glove, mask, time out performed. Anesthesia: 1% lidocaine locally Location: Mid-Anterior Axillary Line, approximate 5th intercostal Device: Tru-Close 11F Technique: 1 cm incision, catheter-over-trocar, above the superior rib border Results: Red diaphragm signal of relief of pneumothorax Secured with adhesive silicone side flaps. No complications. ***[ED Ultrasound: Thoracic vent placed by Alexandra Dyer, MD under concurrent ultrasound guidance. Real time image archived in the medical record confirms pleural anatomy.] Chest X-ray 1V Interpreted by Alexandra Dyer, MD: Pneumothorax diminished to *** cm, chest tube in pleural space facing cephalad. Normal soft tissue



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