A novel and safe technique in closed tube thoracostomy

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A novel and safe technique in closed tube thoracostomy

BACKGROUND Tube thoracostomy (TT) is the most commonly performed surgical procedure in thoracic surgery clinics. The procedure might have to be repeated due to ineffective drainage in patients with tube malposition (TM), in whom the drain is not directed to the apex or located in the fissure. Trocar technique, which is used to prevent TM, is not recommended because of its potential for severe c...

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Delayed perforation of the esophagus by a closed thoracostomy tube.

We report on a previously undocumented complication of a trocar-free thoracostomy tube--delayed perforation of a normal esophagus. The complication presented clinically with fever and copious enteric drainage four days after thoracostomy tube insertion. Diagnosis was established by a contrast study of the esophagus. Retrospectively, the postinsertion chest radiograph showed the offending thorac...

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A New Approach for Safe Tube Thoracostomy Insertion: An Objective and Subjective Comparison versus Established Techniques

Introduction: Tube thoracostomy is an invasive procedure, which may result in life-threatening injury to major organs and blood vessels. We propose a new approach for inserting tube thoracostomies to improve the safety of this procedure, termed guided blunt dissection. In this article, we compared the safety of this new approach with traditional blunt dissection and two commercially available S...

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Tube Thoracostomy: Complications and Its Management

Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Aim. To present an update on the complications and management of complications of tube thoracostomy. Methods. A review...

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Preventive antibiotic usage in traumatic thoracic injuries requiring closed tube thoracostomy.

OBJECTIVE To evaluate the safety and effectiveness of antibiotics in reducing the infectious complications following closed tube thoracostomy for isolated chest trauma. DESIGN Double-blind, randomized clinical trial. SETTING Medical school affiliated large urban teaching hospital and trauma center. PATIENTS One hundred nineteen of 159 patients over 18 years old presenting to the emergency...

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic Surgery

سال: 2010

ISSN: 1749-8090

DOI: 10.1186/1749-8090-5-21