21st February 2025

A 71-year-old man presents with a 12-hour history of breathlessness and chest pain, which were sudden in onset.

A 71-year-old man presents with a 12-hour history of breathlessness and chest pain, which were sudden in onset. He has a history of idiopathic pulmonary fibrosis and ischaemic heart disease.

On presentation, heart rate is 93 bpm, blood pressure 119/82 mmHg, oxygen saturations 91% on room air, respiratory rate 19/minute and temperature 37.1°C. Chest X-ray shows a right-sided pneumothorax with a 1cm rim of air. 

What is the most appropriate next step in management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.