True regarding management of traumatic pneumothorax is:
|A||Immediate ICD tube insertion|
|B||CT Scan should be done to confirm pulmonary leak|
|C||Intermittent needle aspiration|
|D||Open thoracotomy done and pulmonary leak sealed|
a. Treatment of occult pneumothoraces (i.e., those seen only on computed tomography) deserves special mention.
b. In general, patients with occult pneumothoraces who require positive pressure ventilation, those who are hypotensive or have respiratory distress of any etiology, and those who have associated complex injuries or hemothorax should be treated with tube thoracostomy.
c. Patients with occult pneumothoraces who are treated without tube thoracostomy should be observed for at least 24 hours.