Study of the Length of Needle Thoracostomy Catheter Needed for Patients with Chest Trauma
Journal of the Korean Society of Traumatology
;
: 1-4, 2009.
Article
in Korean
| WPRIM
| ID: wpr-165215
ABSTRACT
PURPOSE:
This study was conducted to evaluate the length of the catheter used in a needle thoracostomy for emergency decompression of a tension pneumothorax by measuring the chest wall thickness (CWT) in patients with chest traumaMETHODS:
A retrospective review of 201 patients with chest trauma who had been transported the emergency department in a tertiary university hospital in a metropolitan area between 1 January and 31 February 2007 was performed. The average CWT at the second intercostal space (ICS) in the midclavicular line (MCL) was measured by using a chest computed tomography scan.RESULTS:
As the left and the right mean CWTs were 3.4+/-1.0 cm and 3.4+/-1.0 cm, respectively, there was no significant statistical difference between them. The mean CWT of female patients was significantly higher than that of male patients (p=0.001). The mean CWT of patients under the age of 65 years was significantly thicker than that of the patients over the age of 65 years (p 5 cm.CONCLUSION:
A 5 cm-length catheter in a needle thoracostomy may be insufficient for emergency decompression of a tension pneumothorax, so a catheter longer than 5 cm in length is needed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumothorax
/
Thoracic Injuries
/
Thorax
/
Thoracostomy
/
Retrospective Studies
/
Thoracic Wall
/
Decompression
/
Emergencies
/
Catheters
/
Needles
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Society of Traumatology
Year:
2009
Type:
Article
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