QuestionSBA
QuestionChoice
Inferior to the lower rib border would stick the needle through the neurovascular bundle. This would not be indicated in pleural effusion drainage.
10004872
b
Inferior to the lower rib border
QuestionChoice
In each intercostal space, the neurovascular bundle runs inferiorly, protected by the costal groove of the superior rib. To avoid damage, a pleural effusion needle is placed superiorly to the lower rib border, thus avoiding the neurovascular bundle.
10004871
a
Superior to the lower rib border
QuestionChoice
This is clearly an incorrect answer. To avoid damage, a pleural effusion needle is placed superiorly to the lower rib border, thus avoiding the neurovascular bundle.
10004875
e
Through the neurovascular bundle
QuestionChoice
Placing the needle through the middle, between the two rib borders is still considered unsafe, especially when there are better fitting options available. To avoid damage, a pleural effusion needle is placed superiorly to the lower rib border, thus avoiding the neurovascular bundle.
10004873
c
Middle of intercostal space
QuestionChoice
Inferior to the superior rib border will place the needle straight through the neurovascular bundle, which you would want to avoid. To avoid damage, a pleural effusion needle is placed superiorly to the lower rib border, thus avoiding the neurovascular bundle.
10004874
d
Inferior to the superior rib border
Concept
Chapter
2693
3900
Pleural effusion
Topic
132
Respiratory
13521
Which of the following describes the anatomical location of where an intercostal catheter should be inserted to drain a pleural effusion?
a