Volume : III, Issue : III, March - 2014

Emergency Tube–Thoracostomy at tertiary care centre.

Dr. Brijesh S. Goswami , Dr. Samira N. Parikh

Abstract :

Background : Thoracostomy tube was first described by Hippocrates for the drainage of pleural cavity.[1] In 1876, Hewitt was the first to use a completely closed intercostal drainage system, but it was not until World War II that tube thoracostomy became common in the treatment of injured patients.[2] Physicians with almost all surgical specialties, intensivists, and emergency physicians are required to perform this life saving procedure.[2] In this study, we documented all possible indications and complications for chest tube insertion at Emergency Department (ED) of Civil Hospital, Ahmedabad. Aims and Objectives : To discuss indications and complications for emergency thoracostomy tube placement. Methods : This cross sectional, descriptive, single centre study was conducted at Emergency Department (ED) of Civil Hospital, Ahmedabad, a tertiary care centre in Gujarat between January 2012 to November 2013. 119 patients fulfilling inclusion criteria were included in this study with 134 thoracostomy tube insertions. Indications and complications for the thoracostomy tube insertion were documented and analysed. Results : We studied 119 patients in whom 134 tube thoracostomy were inserted. 83 were male patients and 36 were female patients. Most common indication for tube insertion was traumatic pneumothorax (49.57%) followed by traumatic haemothorax (29.06%). Main complication observed was kinking of tube (9.7%) followed by lung injury (2.98%), intercostal vessel injury (1.49%). Over all complication rate was 17.91%. Conclusion : Emergent tube thoracostomy is of paramount importance for management of chest trauma patients. If proper technique and post procedural care is given than we can reduce the rate of complications.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Brijesh S. Goswami , Dr. Samira N. Parikh Emergency Tube-Thoracostomy at tertiary care centre. International Journal of Scientific Research, Vol.III, Issue.III March 2014

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