Does chest tube location matter? An analysis of chest tube position and the need for secondary interventions

The Journal of Trauma and Acute Care Surgery
Matthew V BennsJ David Richardson

Abstract

Tube thoracostomy is a common procedure used in the management of thoracic trauma. Traditional teaching suggests that chest tubes should be directed in specific locations to improve function. Common examples include anterior and superior placement for pneumothorax, inferior and posterior placement for hemothorax, and avoidance of the pulmonary fissure. The purpose of this study was to examine the effect of specific chest tube position on subsequent chest tube function. A retrospective review of all patients undergoing tube thoracostomy for trauma from January 1, 2010, to September 30, 2012, was performed. Only patients undergoing computed tomography scans following chest tube insertion were included so that positioning could be accurately determined. Rib space insertion level and positioning of the tube relative to the lung parenchyma were recorded. The duration of chest tube drainage and the need for secondary interventions were determined and compared for tubes in different rib spaces and locations. For purposes of comparison, tubes placed above the sixth rib space were considered "high," and those at or below it were considered "low." A total of 291 patients met criteria for inclusion. Forty-eight patients (16.5%) required s...Continue Reading

Citations

Oct 2, 2015·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Emeka B KesiemeEghosa Aigbe
Apr 28, 2016·The Journal of Trauma and Acute Care Surgery·Matthew C HernandezJohnathon M Aho
Sep 21, 2017·The Journal of Trauma and Acute Care Surgery·Nathan W KuglerJasmeet S Paul
Sep 19, 2019·Emergency Medicine Australasia : EMA·Nuala QuinnWarwick J Teague
Jun 27, 2018·Turkish Journal of Emergency Medicine·Jessica MckeeAndrew W Kirkpatrick
Jul 11, 2020·The Journal of Trauma and Acute Care Surgery·Priya S PrakashJeremy W Cannon
Feb 15, 2018·The Journal of Trauma and Acute Care Surgery·Matthew C HernandezJohnathon M Aho
Jun 2, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Manuel F StruckSebastian Krämer
May 5, 2021·American Journal of Surgery·Carson PlatnickK Barry Platnick

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.