Open Thoracic Window: A Useful Alternative for Retained Infected Pleural Collections in Critically Ill Trauma Patients

Carrillo, Eddy H.; Barkoe, David; Sanchez, Rafael; Lee, Seong K.; Rosenthal, Andrew; Pepe, Antonio; Nardiello, Dawn

doi:10.1177/000313480907500208

Cited by 4 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the exceptions is the situation of residual haemothorax after chest injury where the risk of empyema thoracis seems to be high [ 20 ]. The wise use of procedures such as open window thoracostomy and myoplasty which are feasible even in low-income settings, are likely to reduce the thoracostomy and thoracoscopy rate [ 6 , 23 , 24 , 26 ], especially in critically ill patients [ 25 ]. We confirm that TT is not a life-threatening procedure when performed with minimum security measures [ 4 , 10 , 11 , 13 , 19 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Indications and morbidity of tube thoracostomy performed for traumatic and non-traumatic free pleural effusions in a low-income setting

2014

View full text Add to dashboard Cite

IntroductionTube thoracostomy (TT) is widely used to resolve a number of pleural conditions. Few data are available on the complications of TT performed for non-traumatic conditions, especially in low income setting. The aim of this study is to analyse the indications and complications of TT performed for both traumatic and non-traumatic conditions of the chest in a low-income environment.MethodsThis retrospective study conducted over a four years period in a the Regional Hospital, Limbe in South-West Cameroon analyses the rate and nature of complications after TT performed for both traumatic and non-traumatic conditions. Different factors related to complications are analysed.ResultsWe analysed 134 patients who had 186 chest tubes inserted. After placement, tubes were either connected to a water seal system (40%) or submitted to suction (60%). Most (91%) procedures were performed for a non-traumatic condition. Non-infectious pleural effusion in patients with HIV infection or pulmonary tuberculosis was the most common indication. Sixty six per-cents of procedures were carried out by a general surgeon. The complication rate was 19.35%. The most common complications included tube dislocation and pneumothorax. Most complications were solved by replacement of the tube. The nature of operator (general surgeon vs general practitioner) was a significant predictor of outcome (p < 0.01). No procedure related death was recorded.ConclusionTT is a safe and efficient procedure to drain pleural collections of both traumatic and non-traumatic origins, even in low-income settings. The incidence of complications could be reduced by a better training of general practitioners on this procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

Indications and morbidity of tube thoracostomy performed for traumatic and non-traumatic free pleural effusions in a low-income setting

2014

View full text Add to dashboard Cite

show abstract

“…36 The wise use of procedures such as open window thoracotomy and myoplasty which are feasible even in low-income settings, are likely to reduce the thoracotomy and thoracoscopy rate especially in critically ill patients. 37 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Percutaneous tube Thoracostomy Performed by Trainee in both Trauma and non-Trauma Patients

Maula¹,

Alam²,

Khalil³

et al. 2021

Bangladesh Crit Care J

View full text Add to dashboard Cite

Background: Percutaneous Tube Thoracostomy (PTT) is an invasive procedure that can save life now and then in different traumatic and non-traumatic conditions. But still it is an enigma; how our trainee surgeons are at home in this procedure. Objectives: To evaluate the outcome of the percutaneous tube thoracostomy performed by trainee in both trauma and non-trauma patients. Study design: Prospective, Observational study. Duration of study was September, 2019 to February, 2019. Methods: All patients who need PTT in traumatic and non-traumatic conditions were selected by purposive sampling. Thereafter, they were scrutinized according to eligibility criteria and 96 patients were finalized. A pre-tested, observation based, peer-reviewed data collection sheet was prepared before study. Data regarding clinical and surgical outcome profile were recorded. Data were compiled, edited, analyzed. Results: Among 96 patients, the highest 32.29% belonged to age group 31-40 years and lowest 9.37% belonged to age group ≤20. The mean age of the respondents was 29.19±9.81. We found out of 96 patients, 70(72.91%) were indicated PTT for traumatic conditions and rest 26(27.08%) were indicated PTT for non-traumatic chest condition where 36(37.5%) had simple penumothorax, 21(21.87%) haemothorax, 14(14.58%) massive pleural effusion, 13(13.54%) tension pneumothorax, 10(10.41%) haemopneumothorax, and 2(2.08%) had pyothorax respectively. In 53.12% patients had right sided intercostal chest tube (ICT) insertion whereas 46.87% had left sided ICT insertion. In our study, 89.55 % tube was placed at normal anatomical position. Besides, 10.41% tube thoracostomy were performed deviated from anatomical site. Among 96 patients 62.5% patients had length of incision 2-3cm, 35.41% had >3cm and 2.08% had <2cm respectively. Out of 96 patients 75(78.13%) showed uneventful outcome whereas 21(21.87%) had complications including 11.15%(11) each had wound infection, 4.46%(4) subcutaneous emphysema, 4.28%(3) drain auto expulsion, 2.85%(2) hemorrhage, 1.45%(1) had non-functioning drain and empyema with ascending infection respectively (p=<0.05). Conclusion: PTT is a life saving procedure that is most frequently implemented in chest trauma patients of our country. In majority cases, outcome of PTT were uneventful (78.13). Besides this more than one third of patient had length of incision more than 3 cm that needed extra stitches and 10.41% cases PTT were placed other than the normal anatomical site. Trainees of Dhaka Medical College Hospital are doing well in their performance of PTT insertion but still some anatomical orientations are necessary to avoid operative and post-operative complications Bangladesh Crit Care J March 2021; 9(1): 28-33

show abstract

“…An open thoracic window (blue arrow on CT scan, Fig. 1) facilitated the resolution of the infected pleural collection [1].…”

mentioning

confidence: 99%

Endoscopic Hemostasis of a Pleural Hemorrhage using a Hemostatic Gel

Negreanu

Chirculescu²,

Goran

2019

JGLD

View full text Add to dashboard Cite

show abstract

Open Thoracic Window: A Useful Alternative for Retained Infected Pleural Collections in Critically Ill Trauma Patients

Cited by 4 publications

References 11 publications

Indications and morbidity of tube thoracostomy performed for traumatic and non-traumatic free pleural effusions in a low-income setting

Indications and morbidity of tube thoracostomy performed for traumatic and non-traumatic free pleural effusions in a low-income setting

Evaluation of Percutaneous tube Thoracostomy Performed by Trainee in both Trauma and non-Trauma Patients

Endoscopic Hemostasis of a Pleural Hemorrhage using a Hemostatic Gel

Contact Info

Product

Resources

About