Determination of the appropriate catheter length and place for needle thoracostomy by using computed tomography scans of pneumothorax patients

Introduction: The primary goal of this study was to compare the chest wall thicknesses (CWT) at the 2nd intercostal space (ICS) at the mid-clavicular line (MCL) and 5th ICS at the mid-axillary line (MAL) in a population of patients with a CT confirmed pneumothorax (PTX). This result will help physicians to determine the optimum needle thoracostomy (NT) puncture site in patients with a PTX. Materials and methods: All trauma patients who presented consecutively to A&E over a 12-month period were included. Among all the trauma patients with a chest CT (4204 patients), 160 were included in the final analysis. CWTs were measured at both sides and were compared in all subgroup of patients. Results: The average CWT for men on the 2nd ICS-MCL was 38 mm and for women was 52 mm; on the other hand, on the 5th ICS-MAL was 33 mm for men and 38 mm for women. On the 2nd ICS-MCL 17% of men and 48% of women; on the 5th ICS-MAL 13% of men and 33% of women would be inaccessible with a routine 5-cm catheter. Patients with trauma, subcutaneous emphysema and multiple rib fractures would have thicker CWT on the 2nd ICS-MCL. Patients with trauma, lung contusion, sternum fracture, subcutaneous emphysema and multiple rib fractures would have thicker CWT on the 5th ICS-MAL. Conclusions: This study confirms that a 5.0-cm catheter would be unlikely to access the pleural space in at least 1/3 of female and 1/10 of male Turkish trauma patients, regardless of the puncture site. If NT is needed, the 5th ICS-MAL is a better option for a puncture site with thinner CWT. (C) 2012 Elsevier Ltd. All rights reserved.

Yazar Akoglu, Haldun
Akoglu, Ebru Unal
Evman, Serdar
Akoglu, Tayfun
Denizbasi Altinok, Arzu
Guneysel, Ozlem
Onur, Ozge Ecmel
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2369
Tek Biçim Adres 10.1016/j.injury.2012.10.005
Konu Başlıkları Pneumothorax
Needle thoracostomy
Tube thoracostomy
Chest wall thickness
Trauma
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
Dergi Cilt Bilgisi 44
Dergi Sayısı 9
Sayfalar 1177 - 1182
Yayın Yılı 2013
Eser Adı
[dc.title]
Determination of the appropriate catheter length and place for needle thoracostomy by using computed tomography scans of pneumothorax patients
Yazar
[dc.contributor.author]
Akoglu, Haldun
Yazar
[dc.contributor.author]
Akoglu, Ebru Unal
Yazar
[dc.contributor.author]
Evman, Serdar
Yazar
[dc.contributor.author]
Akoglu, Tayfun
Yazar
[dc.contributor.author]
Denizbasi Altinok, Arzu
Yazar
[dc.contributor.author]
Guneysel, Ozlem
Yazar
[dc.contributor.author]
Onur, Ozge Ecmel
Yayın Yılı
[dc.date.issued]
2013
Yayıncı
[dc.publisher]
ELSEVIER SCI LTD
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Introduction: The primary goal of this study was to compare the chest wall thicknesses (CWT) at the 2nd intercostal space (ICS) at the mid-clavicular line (MCL) and 5th ICS at the mid-axillary line (MAL) in a population of patients with a CT confirmed pneumothorax (PTX). This result will help physicians to determine the optimum needle thoracostomy (NT) puncture site in patients with a PTX. Materials and methods: All trauma patients who presented consecutively to A&E over a 12-month period were included. Among all the trauma patients with a chest CT (4204 patients), 160 were included in the final analysis. CWTs were measured at both sides and were compared in all subgroup of patients. Results: The average CWT for men on the 2nd ICS-MCL was 38 mm and for women was 52 mm; on the other hand, on the 5th ICS-MAL was 33 mm for men and 38 mm for women. On the 2nd ICS-MCL 17% of men and 48% of women; on the 5th ICS-MAL 13% of men and 33% of women would be inaccessible with a routine 5-cm catheter. Patients with trauma, subcutaneous emphysema and multiple rib fractures would have thicker CWT on the 2nd ICS-MCL. Patients with trauma, lung contusion, sternum fracture, subcutaneous emphysema and multiple rib fractures would have thicker CWT on the 5th ICS-MAL. Conclusions: This study confirms that a 5.0-cm catheter would be unlikely to access the pleural space in at least 1/3 of female and 1/10 of male Turkish trauma patients, regardless of the puncture site. If NT is needed, the 5th ICS-MAL is a better option for a puncture site with thinner CWT. (C) 2012 Elsevier Ltd. All rights reserved.
Açıklama
[dc.description]
WOS: 000323940600007
Açıklama
[dc.description]
PubMed: 23116647
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Pneumothorax
Konu Başlıkları
[dc.subject]
Needle thoracostomy
Konu Başlıkları
[dc.subject]
Tube thoracostomy
Konu Başlıkları
[dc.subject]
Chest wall thickness
Konu Başlıkları
[dc.subject]
Trauma
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0020-1383
ISSN
[dc.identifier.issn]
1879-0267
İlk Sayfa Sayısı
[dc.identifier.startpage]
1177
Son Sayfa Sayısı
[dc.identifier.endpage]
1182
Dergi Adı
[dc.relation.journal]
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
Dergi Sayısı
[dc.identifier.issue]
9
Dergi Cilt Bilgisi
[dc.identifier.volume]
44
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1016/j.injury.2012.10.005
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2369
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
11
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
06 Şubat 2024 18:41
Google Kontrol
Tıklayınız
patients trauma ICS-MAL ICS-MCL puncture catheter Patients multiple subcutaneous emphysema thicker fractures included Introduction routine inaccessible Turkish reserved rights Elsevier thinner option better needed regardless contusion female pleural access unlikely confirms Conclusions fracture sternum measured
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

creativecommons
Bu site altında yer alan tüm kaynaklar Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.
Platforms