Treatment of choice for Tension pneumothroax is
tension pneumothorax must be treated as a medical emergency. If the tension in the pleural space is not relieved, the patient is likely to die from the inadequate cardiac output or marked hypoxemia. A large-bore needle should be inseed into the pleural space through the second anterior intercostal space. If large amounts of gas escape from the needle after inseion, the diagnosis is confirmed. The needle should be left in place until a thoracostomy tube can be inseed. Ref : Harrison 17/e p1660; Bailey & Love 25/e p879
Immediate IC tube drainage
Continuous aspiration by needle
Intermittent aspiration by needle
Thoractomy with repair of leakage
Cardio thoracic surgery  