Playlist: Respiratory42 Videos

  1. 03:37

    Thoracic Vent (Thoravent) Placement for Pneumothorax

    Uploaded January 2023

  2. 04:13

    Placement of a Pigtail Catheter Intercostal Drain

    Uploaded October 2022

  3. 05:04

    Ultrasound Findings of Viral Pneumonia and COVID

    Uploaded May 2021

  4. 81:39

    Deep Dive: Fluid Resuscitation (Full)

    Uploaded July 2020

  5. 00:31

    What's the Point of Masks?

    Uploaded May 2020

  6. 15:50

    Critical Case I: Asthma

    Uploaded April 2020

  7. 23:59

    Critical Case III: COPD

    Uploaded April 2020

  8. 34:13

    Critical Case II: ARDS

    Uploaded April 2020

  9. 13:26

    Critical Cases Introduction

    Uploaded April 2020

  10. 31:18

    Ventilator Management Part I: Pulmonary Physiology

    Uploaded April 2020

  11. 19:31

    Ventilator Management Part IV: Troubleshooting

    Uploaded April 2020

  12. 39:08

    Ventilator Management Part III: Management Strategies

    Uploaded April 2020

  13. 38:19

    Ventilator Management Part II: Foundational Concepts

    Uploaded April 2020

  14. 06:28

    Ventilator Management Introduction

    Uploaded April 2020

  15. 06:51

    COVID-19 vs HAPE

    Uploaded April 2020

  16. 14:24

    COVID-19 Chapter Update | EM:RAP March 23rd 2020

    Uploaded March 2020

  17. 34:04

    COVID-19 Chapter Update | EM:RAP March 16th 2020

    Uploaded March 2020

  18. 20:18

    Understanding R0 and R(t).

    Uploaded January 2020

  19. 06:25

    Portable Hyperbaric Chamber

    Uploaded January 2020

  20. 01:16

    تسطيح المنحنى

    Uploaded January 2020

  21. 01:04

    Flattening the Curve

    Uploaded January 2020

  22. 01:04

    Verflachung der Kurve

    Uploaded January 2020

  23. 01:04

    Achatando a Curva

    Uploaded January 2020

  24. 01:04


    Uploaded January 2020

  25. 01:01

    Aplatir la Courbe

    Uploaded January 2020

  26. 03:37

    Renal Failure with Shortness of Breath

    Uploaded December 2019

  27. 03:35


    Uploaded December 2019

  28. 02:21

    Approach to the Ultrasound of Pneumothorax

    Uploaded January 2019

  29. 04:38

    How to Secure a Chest Tube

    Uploaded September 2018

  30. 00:59

    Jugular Venous Distension for CHF

    Uploaded June 2018

  31. 01:00

    High Flow Nasal Cannula

    Uploaded May 2018

  32. 00:51

    Infant with Retractions

    Uploaded May 2018

  33. 43:44

    EMA Reviews: Asthma

    Uploaded September 2017

  34. 02:13

    How to Make a Mucosal Atomizer Using a Nebulizer

    Uploaded June 2017

  35. 22:59

    Journal Club: Syncope and PE

    Uploaded November 2016

  36. 04:21

    POCUS for Pulmonary Edema

    Uploaded October 2016

  37. 01:49

    Tips for chest tube in obese patients

    Uploaded September 2016

  38. 01:05

    How to set up a chest drain

    Uploaded September 2016

  39. 04:29

    Chest Tube Placement

    Uploaded August 2016

  40. 02:36

    Chest x-ray in Pulmonary Embolism

    Uploaded December 2010

  41. 00:33

    Example of Lung Point and Absence of Lung Sliding

    Uploaded November 2010

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To perform a thoracentesis, first position your patient sitting at the edge of the bed with their arms resting on a table in front of her (if tolerated). Use ultrasound in the midscapular line to locate the superior border of the effusion, and mark the site 1-2 rib spaces lower. Do not go below the 9th rib to avoid subdiaphragmatic injury. Prep and drape the patient. Use local anesthetic in the skin and the planned intercostal tract. Introduce your catheter-over-needle at the superior margin of the rib to avoid injuring the neurovascular bundle at the inferior rib margin. Aspirate as you advance the needle. When pleural fluid is aspirated, stop advancing, and slide the catheter over the needle while holding the needle still. Attach tubing to drain the effusion. This can be done with a sterile bag to gravity, using a 3-way stopcock and push-pull technique, or using a vacuum sealed container. There is potentially increased risk of reexpansion pulmonary edema with a vacuum sealed container due to rapid drainage. Once the effusion is fully drained, remove the catheter and place a bandage over the site. A repeat chest x-ray allows for reassessment of the effusion and to check for iatrogenic pneumothorax.

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