Is routine tube thoracostomy necessary after prehospital needle decompression for tension pneumothorax?
Am J Surg
; 205(3): 329-32; discussion 332, 2013 Mar.
Article
en En
| MEDLINE
| ID: mdl-23414956
ABSTRACT
BACKGROUND:
Thoracic needle decompression is lifesaving in tension pneumothorax. However, performance of subsequent tube thoracostomy is questioned. The needle may not enter the chest, or the diagnosis may be wrong. The aim of this study was to test the hypothesis that routine tube thoracostomy is not required.METHODS:
A prospective 2-year study of patients aged ≥18 years with thoracic trauma was conducted at a level 1 trauma center.RESULTS:
Forty-one patients with chest trauma, 12 penetrating and 29 blunt, had 47 needled hemithoraces for evaluation; 85% of hemithoraces required tube thoracostomy after needle decompression of the chest (34 of 41 patients [83%]).CONCLUSIONS:
Patients undergoing needle decompression who do not require placement of thoracostomy for clinical indications may be assessed using chest radiography, but thoracic computed tomography is more accurate. Air or blood on chest radiography or computed tomography of the chest is an indication for tube thoracostomy.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neumotórax
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Traumatismos Torácicos
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Toracostomía
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Descompresión Quirúrgica
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Agujas
Tipo de estudio:
Observational_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Surg
Año:
2013
Tipo del documento:
Article
País de afiliación:
Estados Unidos