[Management of the thoracic drainage in the thoracic traumas. Technical mistakes and new procedures]. / La gestione del drenaggio toracico nei traumi del torace. Errori tecnici e nuove procedure.

OBJECTIVE: Thoracic trauma is positioned at the third place of occurrence in Multiple Trauma patient. The correct position of thoracic drainages are fundamental for a good resolution and restore of pulmonary function in our mechanical ventilated patients. METHODS: This retrospective analysis of a prospective database on a consecutive series of patients who had haemo-pneumothorax drained immediately or into 3 hours from trauma was conducted over a period of 24 months. RESULTS: Of 600 of thoracic procedures we have considered 67 chest drainages positioned from 2002 to 2004 in patients with thoracic trauma. Technical aspects of the thoracic drainage were analyzed. Outcome,pulmonary function and clinical complications were recorded. CONCLUSIONS: The Management of drains and thoracic tubes after many surgical procedures is highly variable. This procedure is easy, feasible, secure and we have recorded a reduction of costs and related complications.