Do junior doctors know where to insert chest drains safely?
| Autor: | N Roberts, J R Griffiths |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Thorax
medicine.medical_specialty education Specialty Audit Teaching hospital Medical Staff Hospital Humans Medicine Drain insertion Thoracic Wall Medical Audit Chest drains Clinical Audit business.industry General surgery fungi food and beverages Pneumothorax General Medicine medicine.disease medicine.anatomical_structure England Education Medical Graduate Chest Tubes Emergency medicine Drainage Clinical Competence business Thoracic wall |
| Zdroj: | Postgraduate Medical Journal. 81:456-458 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/pgmj.2004.024752 |
| Popis: | Background The safe insertion of a chest drain is a skill doctors across specialties require. Incorrect placement can lead to significant morbidity and even mortality. Methods This audit surveyed junior doctors working in a teaching hospital about their specialty and level of experience with intercostal drains. They were then asked to mark on a photograph where they would insert a chest drain for a pneumothorax in a non-emergency situation. Results Of the 55 junior doctors surveyed, 45% were outside the safe area of chest drain insertion as defined by the British Thoracic Society. The most common error was a choice of insertion site too low (24%). Conclusions In this audit 45% of juniors surveyed would have placed a chest drain outside the safe triangle recommended by the British Thoracic Society. The common mistake of a choice of insertion site too low should be discussed in postgraduate teaching programmes. |
| Databáze: | OpenAIRE |
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