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SYMPOSIUM: CURRENT CONCEPTS IN CRITICAL CARE
Year : 2014  |  Volume : 4  |  Issue : 2  |  Page : 143-155

Thoracostomy tubes: A comprehensive review of complications and related topics


1 Department of Surgery, Cooper University Hospital, Camden, NJ, USA
2 Department of Surgery, Northwestern University School of Medicine, Chicago, IL, USA
3 OPUS 12 Foundation Global, Inc, USA
4 Department of Surgery, Northwestern University School of Medicine, Chicago, IL; OPUS 12 Foundation Global, Inc, USA
5 Department of Surgery, Temple St Luke's Medical School, Bethlehem, PA; OPUS 12 Foundation Global, Inc, USA
6 Department of Surgery, Temple St Luke's Medical School, Bethlehem, PA, USA
7 Department of Surgery, University of Minnesota Medical School, Minneapolis, MN, USA
8 The Ohio State University College of Medicine, Columbus, OH; OPUS 12 Foundation Global, Inc, USA
9 Department of Medicine, University of Arizona College of Medicine, Tucson, AZ; OPUS 12 Foundation Global, Inc, USA
10 Department of Emergency Medicine, Winter Haven Hospital, University of Florida, Florida; OPUS 12 Foundation Global, Inc, USA
11 The Ohio State University College of Medicine, Columbus, OH, USA

Correspondence Address:
Stanislaw P. A. Stawicki
Department of Surgery, Division of Trauma, Critical Care, and Burn, The Ohio State University College of Medicine, Suite634, 395 West 12th Avenue, Columbus, Ohio
USA
Stanislaw P. A. Stawicki
Department of Surgery, Division of Trauma, Critical Care, and Burn, The Ohio State University College of Medicine, Suite634, 395 West 12th Avenue, Columbus, Ohio
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5151.134182

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Tube thoracostomy (TT) placement belongs among the most commonly performed procedures. Despite many benefits of TT drainage, potential for significant morbidity and mortality exists. Abdominal or thoracic injury, fistula formation and vascular trauma are among the most serious, but more common complications such as recurrent pneumothorax, insertion site infection and nonfunctioning or malpositioned TT also represent a significant source of morbidity and treatment cost. Awareness of potential complications and familiarity with associated preventive, diagnostic and treatment strategies are fundamental to satisfactory patient outcomes. This review focuses on chest tube complications and related topics, with emphasis on prevention and problem-oriented approaches to diagnosis and treatment. The authors hope that this manuscript will serve as a valuable foundation for those who wish to become adept at the management of chest tubes.


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