The Emergent Tube Thoracostomy

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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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Horner's syndrome secondary to tube thoracostomy.

Tube thoracostomy is a common therapeutic approach applied in medical practice. Certain complications of this procedure have been described in the literature. Oculosympathetic paresis, or Horner's syndrome, occurs from the interruption of second order preganglionic neurons and manifests as miosis, ptosis, hemifacial anhidrosis and enophthalmos. Iatrogenic Horner's syndrome, on the other hand, v...

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Complications of tube thoracostomy for chest trauma.

OBJECTIVE To determine the insertional and positional complications encountered by the placement of intercostal chest drains (ICDs) for trauma and whether further training is warranted in operators inserting intercostal chest drains outside level 1 trauma unit settings. METHODS Over a period of 3 months, all patients with or without an ICD in situ in the front room trauma bay of Tygerberg Hos...

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Complications of tube thoracostomy in trauma.

OBJECTIVE To assess the complication rate of tube thoracostomy in trauma. To consider whether this rate is high enough to support a selective reduction in the indications for tube thoracostomy in trauma. METHODS A retrospective case series of all trauma patients who underwent tube thoracostomy during a 12 month period at a large UK teaching hospital with an accident and emergency (A&E) depart...

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Rapid atrial fibrillation following tube thoracostomy insertion.

We report a case of trauma patient, whose heart rhythm and rate changed from sinus tachycardia to rapid atrial fibrillation. The change occurred immediately after the insertion of left thoracostomy tube. The patient did not respond to pharmacological treatment. Only when the tube was pulled out, the rhythm returned to sinus. Chest radiogram shows the position of the tube, in close proximity to ...

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ژورنال

عنوان ژورنال: Academic Emergency Medicine

سال: 2008

ISSN: 1069-6563,1553-2712

DOI: 10.1111/j.1553-2712.2008.00038.x