For open pneumothorax which of the following is M/n of choice -
Ans is 'b' ie ICD with under water seal "Open Pneumothorax is one in which full thickness segment of the chest wall has been destroyed and the negative intrapleural pressure sucks air directly through the chest wall defect rather than through the trachea into the alveoli . It occurs most commonly after shot gun blasts explosion with flying debris . The pt. is stabilized by any mechanical covering over the open wound. As soon as convenient a water tight dressing should be placed and an intercostal catheter inseed into the pleural cavity. Early debridement and formal closure of the wound should then be performed."
IPPV
ICD with underwater seal
Thoracostomy and close the rent
Wait and watch.