Prehospital needle thoracostomy: What are the indications and is a post-trauma center arrival chest tube required?
Am J Surg
; 218(6): 1138-1142, 2019 12.
Article
en En
| MEDLINE
| ID: mdl-31563275
ABSTRACT
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.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neumotórax
/
Toracostomía
/
Tubos Torácicos
/
Tratamiento de Urgencia
/
Agujas
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Surg
Año:
2019
Tipo del documento:
Article
País de afiliación:
Estados Unidos