Results of thoracic drainages placed in air rescue

Schupfner, R.; Wagner, Walter; Schneller, A.

doi:10.1556/imas.5.2013.4.4

Cited by 3 publications

(4 citation statements)

References 18 publications

(19 reference statements)

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“…Chest tube placement has been previously validated for use in the prehospital environment by both physician and aeromedical nonphysician personnel. 4,8,9 This study is the first to the authors' knowledge to perform a matched direct comparison between nonphysician PTT and physician placed HTT, further validating the safety of this technique.…”

Section: Discussionmentioning

confidence: 65%

“…These numbers are similar to those previously reported. 4,6 The patients in the PTT group had a longer ICU stay (10.4 ± 10.1 vs 6.7 ± 8.7 days, P = .034) ( Table 3). Despite adequate matching of ISS, PTT patients presented with lower GCS, though other factors such as hospital LOS and mortality were not different between the 2 groups.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have investigated the efficacy and safety of this technique in the prehospital setting citing low complication rates. [2][3][4][5][6] These studies, however, were conducted in European countries such as Switzerland and the United Kingdom, where aeromedical crews staffed with trauma or Emergency Medicine physicians performed chest decompression in the field.…”

Section: Introductionmentioning

confidence: 99%

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A Comparison of Prehospital Nonphysician and Hospital Physician Placed Tube Thoracostomy

Harrell

Brooks

Palm

et al. 2020

The American Surgeon

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Background Prehospital chest decompression can be a lifesaving procedure in severe chest trauma. Studies investigating prehospital chest decompression are mostly European where physicians are assigned to prehospital care units. This report is one of the first to compare demographics and outcomes in patients undergoing prehospital chest decompression by trained aeromedical nonphysician personnel to hospital chest decompression by physicians. Methods Prehospital tube thoracostomy (PTT) patients were identified from January 2014 to January 2019 and were matched in a 1:2 ratio based on age, Injury Severity Score (ISS), and chest Abbreviated Injury Score (AIS) to patients who underwent hospital tube thoracostomy (HTT) within 24 hours of admission. Results Forty-nine PTT patients were matched to 98 HTT patients. PTT patients had lower admission Glasgow Coma Scale (GCS), a higher rate of pre-chest tube needle decompression, and higher level 1 trauma activation. PTT were placed sooner (21.9 vs 157.0 minutes, P < .001). Rates of tube malposition, organ injury, tube dislodgement, empyema, and hospital-acquired pneumonia over the course of hospital admission were not significantly different between the 2 groups. PTT patients had longer intensive care unit length of stay (LOS), but similar hospital LOS, and overall mortality. Discussion This report demonstrates that PTT is performed sooner than hospital placed tubes. Complication rates associated with tube thoracostomy and patient outcomes were not statistically different between PTT and HTT groups.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Comparison of Prehospital Nonphysician and Hospital Physician Placed Tube Thoracostomy

Harrell

Brooks

Palm

et al. 2020

The American Surgeon

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“…In a 2013 paper enrolling 42 patients studying the results of emergency placement of chest tubes, malpositioning of chest tubes was detected by CT scan in 9 cases [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural

Mosa

Ishaq

Ahmed

2018

Case Reports in Radiology

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Chest tube malpositioning is reported to be the most common complication associated with tube thoracostomy. Intraparenchymal and intrafissural malpositions are the most commonly reported tube sites. We present a case about a 21-year-old patient with cystic fibrosis who was admitted due to bronchiectasis exacerbation and developed a right-sided pneumothorax for which a chest tube was inserted. Partial initial improvement in the pneumothorax was noted on the chest radiograph, after which the chest tube stopped functioning and the pneumothorax remained for 19 days. Chest computed tomography was done and revealed a malpositioned chest tube in the right side located inside the thoracic cavity but outside the pleural cavity (intrathoracic, extrapleural). The removed chest tube was patent with no obstructing materials in its lumen. A new thoracostomy tube was inserted and complete resolution of the pneumothorax followed.

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