A mechanically ventilated patient is having a central venous…
A mechanically ventilated patient is having a central venous line inserted by the subclavian vein route. He coughs vigorously. Within 1 minute the peak pressure on the ventilator increases significantly, and the Spo2 value is progressively decreasing. Chest percussion demonstrates a hyperresonant sound over the right side of the chest, and breath sounds are diminished on the right side. What is the most important thing to do at this time?
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