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Surgery General 8aff5c22

For open pneumothorax which of the following is Min of choice -

A
IPPV
B
ICD with underwater seal
C
Thoracostomy and close the rent
D
Wait and watch.
High-Yield Explanation
"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 shotgun blasts explosion with flying debris. The pt. is stabilized by any mechanical covering over the open wound. As soon as convenient a watertight dressing should be placed and an intercostal catheter inserted into the pleural cavity. Early debridement and formal closure of the wound should then be performed."

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