The Development and Experimental Application of a New Thoracostomy Trocar

Introduction In general, a chest tube is inserted for drainage to treat conditions such as pneumothorax, hemothorax, and pyothorax. Because of the clinical usefulness of closed thoracostomies, the ability to perform this procedure is an essential skill for not only physicians who treat trauma patien...

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Veröffentlicht in:The American journal of emergency medicine 2016-05, Vol.34 (5), p.917-920
Hauptverfasser: Lee, Yoon Je, M.D, Choi, Hyuk Joong, M.D., Ph.D, Lim, Tae Ho, M.D., Ph.D, Lee, Sang Hyun, M.D, Hwang, Se Jin, M.D., Ph.D
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Sprache:eng
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Zusammenfassung:Introduction In general, a chest tube is inserted for drainage to treat conditions such as pneumothorax, hemothorax, and pyothorax. Because of the clinical usefulness of closed thoracostomies, the ability to perform this procedure is an essential skill for not only physicians who treat trauma patients but also general surgeons and emergency physicians [1-2]. Cadaver Insertion site (ICS)/time (s) Difficulty score Confidence score Attempt 1 Attempt 2 Attempt 3 1 A 4th/88 7th/53 5th/45 3 9 2 B 5th/68 4th/34 4th/53 1 9 3 A 6th/45 4th/63 7th/40 2 6 4 A 6th/50 5th/40 6th/33 1 9 5 B 5th/48 5th/56 6th/47 2 9 6 B 7th/48 6th/34 4th/43 1 9 7 A 7th/45 6th/70 5th/60 4 7 8 A 5th/56 7th/46 7th/37 3 8 9 B 4th/44 6th/35 7th/33 2 8 10 A 5th/76 6th/66 4th/54 3 7 11 B 7th/53 5th/56 7th/36 3 4 12 B 5th/68 4th/65 5th/50 2 7 13 B 7th/75 6th/55 6th/66 1 9 14 A 4th/64 5th/44 7th/30 2 8 15 A 4th/48 6th/45 4th/56 3 7 16 B 4th/45 7th/37 6th/35 2 9 Mean+SD 57.6±13.8 49.9±12.2 44.9±10.8 2.2 7.8 Table 1 Closed thoracostomy times, difficulty scores, and confidence scores for the procedure with the new trocar Categorical variables are given as numbers (percentage).
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2016.02.016