Which intervention is indicated for tension pneumothorax?

Tension pneumothorax is a critical condition that occurs when air enters the pleural space and cannot escape, leading to increased pressure, lung collapse, and potential cardiovascular compromise. The primary intervention to relieve this life-threatening condition is thoracocentesis, which involves inserting a needle into the pleural space to relieve the pressure by allowing trapped air to escape. This procedure is crucial as it can quickly restore normal pressure in the chest cavity, allowing the affected lung to expand and improve oxygenation and ventilation.

Administering bronchodilators is not appropriate because tension pneumothorax is not caused by bronchospasm or airway obstruction; it is a mechanical issue with the pleural space. Performing chest compressions is applicable in cardiac arrest situations but doesn't address the underlying problem of tension pneumothorax. Intubation may be necessary if the patient is unable to breathe, but it does not relieve the pneumothorax itself and is not the immediate priority in this scenario. Therefore, thoracocentesis is the most effective and indicated intervention for managing tension pneumothorax.