scholarly journals Necrotizing Chest Wall Fasciitis Complicating Closed Tube Thoracostomy: Can It Be Avoided?

2021 ◽  
Author(s):  
Abdel-Mohsen M. Hamad ◽  
Elsayed M. Elmistekawy ◽  
Ahmed F. Elmahrouk
Keyword(s):  
Chest Wall ◽  
Tube Thoracostomy ◽  
Closed Tube

Risk Factors of Extensive Subcutaneous Emphysema after Closed-Tube Thoracostomy for Spontaneous Pneumothorax

2019 ◽  
Vol 85 (2) ◽  
pp. 71-73
Author(s):  
Yoon Seop Kim ◽  
Kyoung-Chul Cha ◽  
Sung Oh Hwang ◽  
Sun Hyu Kim ◽  
Yong Won Kim
Keyword(s):  
Risk Factors ◽  
Subcutaneous Emphysema ◽  
Spontaneous Pneumothorax ◽  
Tube Thoracostomy ◽  
Closed Tube

Thin Chest Wall is an Independent Risk Factor for the Development of Pneumothorax after Chest Tube Removal

2012 ◽  
Vol 78 (4) ◽  
pp. 478-480 ◽  
Author(s):  
Rahul J. Anand ◽  
James F. Whelan ◽  
Paula Ferrada ◽  
Therese M. Duane ◽  
Ajai K. Malhotra ◽  
...  
Keyword(s):  
Risk Factor ◽  
Chest Wall ◽  
Scale Score ◽  
Wall Thickness ◽  
Chest Tube ◽  
Independent Risk Factor ◽  
Tube Thoracostomy ◽  
Abbreviated Injury Scale ◽  
Tube Removal ◽  
Chest Tube Removal

The factors contributing to the development of pneumothorax after removal of chest tube thoracostomy are not fully understood. We hypothesized that development of post pull pneumothorax (PPP) after chest tube removal would be significantly lower in those patients with thicker chest walls, due to the “protective” layer of adipose tissue. All patients on our trauma service who underwent chest tube thoracostomy from July 2010 to February 2011 were retrospectively reviewed. Patient age, mechanism of trauma, and chest Abbreviated Injury Scale score were analyzed. Thoracic CTs were reviewed to ascertain chest wall thickness (CW). Thickness was measured at the level of the nipple at the midaxillary line, as perpendicular distance between skin and pleural cavity. Chest X-ray reports from immediately prior and after chest tube removal were reviewed for interval development of PPP. Data are presented as average ± standard deviation. Ninety-one chest tubes were inserted into 81 patients. Patients who died before chest tube removal (n = 11), or those without thoracic CT scans (n = 13) were excluded. PPP occurred in 29.9 per cent of chest tube removals (20/67). When PPP was encountered, repeat chest tube was necessary in 20 per cent of cases (4/20). After univariate analysis, younger age, penetrating mechanism, and thin chest wall were found to be significant risk factors for development of PPP. Chest Abbreviated Injury Scale score was similar in both groups. Logistic regression showed only chest wall thickness to be an independent risk factor for development of PPP.

Preventive Antibiotic Usage in Traumatic Thoracic Injuries Requiring Closed Tube Thoracostomy

CHEST Journal ◽  
1994 ◽  
Vol 106 (5) ◽  
pp. 1493-1498 ◽  
Author(s):  
Ronald Lee Nichols ◽  
Jeffrey W. Smith ◽  
Anita C. Muzik ◽  
Edward J. Love ◽  
Norman E. McSwain ◽  
...  
Keyword(s):  
Antibiotic Usage ◽  
Tube Thoracostomy ◽  
Thoracic Injuries ◽  
Closed Tube

Closed-Tube Thoracostomy—A New Technique Using a Disposable Surgical Trocar and Sleeve

1990 ◽  
Vol 24 (4) ◽  
pp. 261-264
Author(s):  
Khaleel A. Shaikh ◽  
Jonathan H. Cilley ◽  
Anthony J. DelRossi
Keyword(s):  
Tube Thoracostomy ◽  
New Technique ◽  
Closed Tube ◽  
A New Technique

scholarly journals Life Threatening Hemoperitoneum and Liver Injury as a Result of Chest Tube Thoracostomy

2015 ◽  
Vol 8 ◽  
pp. CCRep.S23139 ◽  
Author(s):  
Jung-Min Bae
Keyword(s):  
Liver Injury ◽  
Chest Wall ◽  
Subcutaneous Emphysema ◽  
Chest Tube ◽  
Rare Case ◽  
Rare Complication ◽  
Tube Thoracostomy ◽  
Review Of Literature ◽  
Life Threatening ◽  
Emergent Laparotomy

Common complications of chest tube thoracostomy (CTT) include lung laceration, chest wall bleeding, improper position of tube, subcutaneous emphysema, and so on. Although intra-abdominal injury because of CTT was possible in stomach, spleen, and liver, published reports are rare and no case of life-threatening hemoperitoneum because of CTT has been published in the literature. Here, we present a rare case of life-threatening hemoperitoneum and liver injury because of CTT. We successfully treated the case with emergent laparotomy. Owing to great rarity and particular rare complication of CTT, we report this case with a review of literature.

scholarly journals A novel and safe technique in closed tube thoracostomy

2010 ◽  
Vol 5 (1) ◽  
Author(s):  
Koray Dural ◽  
Gultekin Gulbahar ◽  
Bulent Kocer ◽  
Unal Sakinci
Keyword(s):  
Tube Thoracostomy ◽  
Closed Tube ◽  
Safe Technique
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