Prehospital needle thoracostomy: What are the indications and is a post-trauma center arrival chest tube required?
| Autor: | Zoona Sarwar, R.A. Gonzalez, Justin M Robbins, Kenneth Stewart, B.C. Axtman, F.M. Balla, Roxie M. Albrecht, Tabitha Garwe, Tyler L Zander |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Trauma registry Thoracostomy Needle Thoracostomy 03 medical and health sciences 0302 clinical medicine Trauma Centers Chart review medicine Humans In patient Treatment Failure 030212 general & internal medicine Emergency Treatment Retrospective Studies business.industry Trauma center Pneumothorax 030208 emergency & critical care medicine General Medicine Surgery Chest tube Catheter Needles Chest Tubes Female business |
| Zdroj: | The American Journal of Surgery. 218:1138-1142 |
| ISSN: | 0002-9610 |
| Popis: | Objective This study examined the indications for prehospital needle thoracostomy (pNT), the need for tube thoracostomy (TT) following pNT, and the outcomes of patients who underwent pNT. Methods This study is a retrospective chart review of patients who underwent pNT prior to trauma center arrival. Patients were identified from the trauma registry and a quality improvement (QI) database from 9/2014–9/2018. Results 59 patients underwent 63 pNTs during the time period. The indication for pNT was “hypotension” in only 5 patients (7.9%). A CT chest was obtained on 51 NT attempts with the catheter in place. In 48 (94.1%) NT attempts, the catheter was not in the pleural space. 44 (69.4%) TTs were placed on admission date. Conclusion In patients undergoing pNT, hypotension was rarely the indication. Additionally, CT identified the catheter within the pleural space in only 3 (5.8%) NT attempts. TT placement was performed in 79.3% of NT attempts. |
| Databáze: | OpenAIRE |
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