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| SURGICAL TECHNIQUES AND VIDEOS |
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| Year : 2016 | Volume
: 1
| Issue : 1 | Page : 12 |
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Chest Tube Insertion: A Safe and Simple Technique
Moheb A Rashid
Department of Surgery, Lillehammer Hospital, Lillehammer, Norway; Scandinavian Cardiovascular Surgery Center, Gothenburg, Sweden
| Date of Web Publication | 15-Nov-2016 |
Correspondence Address:
Moheb A Rashid
Department of Surgery, Lillehammer Hospital, Lillehammer, Norway; Scandinavian Cardiovascular Surgery Center, Gothenburg, Sweden
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2542-6281.194053
How to cite this article:
Rashid MA. Chest Tube Insertion: A Safe and Simple Technique. J Cardiothorac Trauma 2016;1:12 |
Chest tube thoracostomy is the most common procedure performed in cardiothoracic trauma. It is used by several doctors from different specialties with different levels of experiences. However, it is not without risk, particularly when inserted in urgent conditions as in thoracic trauma by inexperienced physicians. Therefore, a sound, safe, and simple technique is warranted. There are so many published excellent videos describing chest tube insertions. [1],[2] However, there are some serious complications still observed including too much dissections and tunneling with the risk of life-threatening infections such as necrotizing fasciitis. [3] Positioning of the tube during insertion can go wildly wrong with serious complications. [4],[5] Securing the tube after insertion is almost inadequate with serious spontaneous removal of the tube. [6] The previously placed horizontal mattress suture will be used to close the wound cosmetically after removal of the tube. [6] This video reflects the author's technique [6] which is basically similar to that of the American Association for the Surgery of Trauma - Advanced Trauma Life Support [1] and others, [2] but it differs in some maneuvers as shown in the video to reduce the above-mentioned complications. [3],[4],[5],[6]
Acknowledgment
The author acknowledges the assistance of Dr. Vidar Möller, MD, for Minimizing the size of the video.
| References | |  |
| 1. | Advanced Trauma Life Support (ATLS) Companion 9E v2.0. Just-in-Time Videos. Chest Tube; 2012.  |
| 2. | Dev SP, Nascimiento B Jr., Simone C, Chien V. Videos in clinical medicine. Chest-tube insertion. N Engl J Med 2007;357:e15. |
| 3. | Urschel JD, Takita H, Antkowiak JG. Necrotizing soft tissue infections of the chest wall. Ann Thorac Surg 1997;64:276-9. |
| 4. | Rashid MA. Intracardiac chest tube placement. The author's reply - Letters to the editor. J Trauma 1999;46:529-30. |
| 5. | Rashid MA, Wikström T, Ortenwall P. Mediastinal perforation and contralateral hemothorax by a chest tube. Thorac Cardiovasc Surg 1998;46:375-6. |
| 6. | Rashid MA, Wikström T, Ortenwall P. A simple technique for anchoring chest tubes. Eur Respir J 1998;12:958-9. |
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