The Journal of Cardiothoracic Trauma

SURGICAL TECHNIQUES AND VIDEOS
Year
: 2016  |  Volume : 1  |  Issue : 1  |  Page : 12-

Chest Tube Insertion: A Safe and Simple Technique


Moheb A Rashid 
 Department of Surgery, Lillehammer Hospital, Lillehammer, Norway; Scandinavian Cardiovascular Surgery Center, Gothenburg, Sweden

Correspondence Address:
Moheb A Rashid
Department of Surgery, Lillehammer Hospital, Lillehammer, Norway; Scandinavian Cardiovascular Surgery Center, Gothenburg, Sweden




How to cite this article:
Rashid MA. Chest Tube Insertion: A Safe and Simple Technique.J Cardiothorac Trauma 2016;1:12-12


How to cite this URL:
Rashid MA. Chest Tube Insertion: A Safe and Simple Technique. J Cardiothorac Trauma [serial online] 2016 [cited 2021 Sep 20 ];1:12-12
Available from: https://www.jctt.org/text.asp?2016/1/1/12/194053


Full Text

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]

[MULTIMEDIA:1]

Acknowledgment

The author acknowledges the assistance of Dr. Vidar Möller, MD, for Minimizing the size of the video.

References

1Advanced Trauma Life Support (ATLS) Companion 9E v2.0. Just-in-Time Videos. Chest Tube; 2012.
2Dev SP, Nascimiento B Jr., Simone C, Chien V. Videos in clinical medicine. Chest-tube insertion. N Engl J Med 2007;357:e15.
3Urschel JD, Takita H, Antkowiak JG. Necrotizing soft tissue infections of the chest wall. Ann Thorac Surg 1997;64:276-9.
4Rashid MA. Intracardiac chest tube placement. The author's reply - Letters to the editor. J Trauma 1999;46:529-30.
5Rashid MA, Wikström T, Ortenwall P. Mediastinal perforation and contralateral hemothorax by a chest tube. Thorac Cardiovasc Surg 1998;46:375-6.
6Rashid MA, Wikström T, Ortenwall P. A simple technique for anchoring chest tubes. Eur Respir J 1998;12:958-9.