Needle Decompression Failure
Chest Wall Thickness and Decompression Failure: A Systematic Review and Meta-Analysis Comparing Anatomic Locations in Needle Thoracotomy. Injury 2015
Meta analysis of trials assessing chest wall thickness as well as the success rates of needle thoracotomy at different anatomical sites on chest wall.
15 studies studying chest wall thickness.
13 studies studying effectiveness of needle thoracotomy by anatomical site with 5cm angiocath.
Chest wall thickness is least at the 4/5th intercostal space in the anterior axillary line
The failure rate was least for needle insertion when using the 4/5th intercostal space in the anterior axillary line.
Consider using the 4/5th intercostal space in the anterior axillary line when needle decompressing, as it is thinner than the 2nd intercostal mid axillary and has a lower failure rate.