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Table 2 Description of measurements

From: Chest wall thickness and depth to vital structures in paediatric patients – implications for prehospital needle decompression of tension pneumothorax

Measurement

Description

Width of the intercostal space

From the inferior border of the superior rib to the superior edge of the inferior rib

Chest Wall Thickness (CWT)

Skin to pleural space

Depth to vital structure (DVS)

Skin to the intersection of the insertion line (see “directions of insertion”) with an intrathoracic vital structure (see Table 3)

Intrapleural Safety Zone (ISZ)

Pleural space to the intersection with an intrathoracic vital structure (DVS – CWT), representing the intrathoracic distance to a vital structure

Directions of insertion

 Sagittal

Insertion in the sagittal plane

 Perpendicular

Insertion perpendicular to the chest wall

 Close

The closest vital structure to the point of insertion was identified visually. DVS was then measured from this point of reference to skin surface.