Journal ArticleDOI
Chest tubes: indications, placement, management, and complications.
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TLDR
Current indications for chest tube placement, insertion techniques, and available equipment, including drainage systems are reviewed, and guidelines for maintenance and discontinuation are discussed.Abstract:
Use of tube thoracostomy in intensive care units for evacuation of air or fluid from the pleural space has become commonplace. In addition to recognition of pathological states necessitating chest tube insertion, intensivists are frequently involved in placement, maintenance, troubleshooting, and discontinuation of chest tubes. Numerous advances have permitted safe use of tube thoracostomy for treatment of spontaneous or iatrogenic pneumothoracies and hydrothoracies following cardiothoracic surgery or trauma, or for drainage of pus, bile, or chylous effusions. We review current indications for chest tube placement, insertion techniques, and available equipment, including drainage systems. Guidelines for maintenance and discontinuation are also discussed. As with any surgical procedure, complications may arise. Appropriate training and competence in usage may reduce the incidence of complications.read more
Citations
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Interventional pulmonary procedures: Guidelines from the American College of Chest Physicians.
TL;DR: These guidelines could be used as a guide to hospital nursing, respiratory therapy and administrative departments who wish to develop these services and dedicated operators who display competency in these individual procedures should have less difficulty overcoming the barriers that sometimes exist within local hospital credentialing committees.
Journal ArticleDOI
Chest tube complications: how well are we training our residents?
Chad G. Ball,Jason Lord,Kevin B. Laupland,Scott Gmora,Robert H. Mulloy,Alex Ng,Colin Schieman,Andrew W. Kirkpatrick +7 more
TL;DR: In this article, the authors defined the incidence and risk factors for complications in chest tubes placed exclusively by resident physicians and outlined the rate of complications occult to postinsertional supine anteroposterior (AP) chest radiographs.
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Level 3 guideline on the treatment of patients with severe/multiple injuries Abstracts
Bertil Bouillon,Dawid Pieper,Sascha Flohe,Michaela Eikermann,Peggy Prengel,Steffen Ruchholtz,Klaus Michael Stürmer,Christian Waydhas,Heiko Trentzsch,Sven Lendemans,Stefan Huber-Wagner,D. Rixen,Frank Hildebrand,Christoph Mosch,Ulrike Nienaber,Stefan Sauerland,Martin Schenkel,Maren Walgenbach,Monika Becker,Stefanie Buhn,Simone He,Thomas Jaschinski,Tim Mathes,Michael Bernhard,Bernd W. Bottiger,Thomas Burger,Matthias Fischer,Ralf Gutwald,Markus Hohenfellner,Ernst Klar,Eckhard Rickels,Jürgen Schuttler,Andreas Seekamp,Lothar Swoboda,Thomas J. Vogl,Frank Waldfahrer,Margot Wustner-Hofmann,Werner Bader,Andreas Duran,Birgit Gathof,Lucas Geyer,David Häske,Matthias Helm,Peter Hilbert-Carius,Karl-Georg Kanz,Ulrich Kneser,Marcus Lehnhardt,Heiko Lier,Carsten Lott,Corinna Ludwig,Ingo Marzi,Uwe Max Mauer,Jürgen F. Schäfer,Robert Schwab,Frank Siemers,Erwin Strasser,Lucas Wessel,Stefan Wirth,Thomas Wurmb +58 more
TL;DR: The German Trauma Society (DGU) (lead) Office in Langenbeck-Virchow House Luisenstr.
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Iatrogenic pneumothorax related to mechanical ventilation.
Chien-Wei Hsu,Shu-Fen Sun +1 more
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Journal ArticleDOI
Management of chest trauma
Corinna Ludwig,Aris Koryllos +1 more
TL;DR: Two case reports are presented to demonstrate how the very specific knowledge of thoracic surgeons could help in the care of trauma patients.
References
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Journal ArticleDOI
Chest tubes. Indications, technique, management and complications.
K S Miller,Steven A. Sahn +1 more
Journal ArticleDOI
Complications of tube thoracostomy for acute trauma
TL;DR: Complications can be further diminished by the routine use of large thoracostomy tubes that are placed well up on the chest after confirmation of an open pleural space, by avoiding the use of a trocar for tube placement, and by theUse of a high volume, low pressure suction system.
Journal ArticleDOI
Clinical analysis of reexpansion pulmonary edema.
Yuichiro Matsuura,Takayuki Nomimura,Hironobu Murakami,Takeshi Matsushima,Masayuki Kakehashi,Hiroki Kajihara +5 more
TL;DR: It is suggested that age-related changes in the lung may afford some degree of protection against developing REPE, and the treatment of pneumothorax with thoracentesis and/or suction drainage in young patients requires careful consideration in view of a relatively high incidence of REPE.
Journal ArticleDOI
Modern management of adult thoracic empyema.
TL;DR: It is suggested that chest tube drainage is often inadequate and more aggressive management is likely to result in fewer treatment failures and fewer total procedures.
Journal ArticleDOI
Complications following blunt and penetrating injuries in 216 victims of chest trauma requiring tube thoracostomy.
TL;DR: Despite longer requirements for mechanical ventilation, intensive care, and intubation, victims of blunt trauma seemed to have effective drainage of their pleural space by TT without increased risk of infectious complications.