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LETTER TO THE EDITOR
Year : 2015  |  Volume : 5  |  Issue : 1  |  Page : 61-62

A letter in response to"Thoracostomy tubes: A comprehensive review of complications and related topics"


Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi, India

Date of Web Publication2-Mar-2015

Correspondence Address:
Animesh Ray
Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5151.152350

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How to cite this article:
Ray A. A letter in response to"Thoracostomy tubes: A comprehensive review of complications and related topics". Int J Crit Illn Inj Sci 2015;5:61-2

How to cite this URL:
Ray A. A letter in response to"Thoracostomy tubes: A comprehensive review of complications and related topics". Int J Crit Illn Inj Sci [serial online] 2015 [cited 2019 Nov 12];5:61-2. Available from: http://www.ijciis.org/text.asp?2015/5/1/61/152350

Dear Editor,

I read with interest the article titled "Thoracostomy tubes: A comprehensive review of complications and related topics" [1] in which the authors have meticulously reviewed the complications associated with tube thoracostomy. In addition to the mentioned complications I would like to add a few complications reported in relation to tube thoracostomy which though rare, still deserves special mention.

  • Tension pneumothorax can complicate intercostal tube drainage insertion if Heimlich's valve are improperly attached as reported by Mainini et al., [2] as this will lead to progressive entry of air into the pleural space during inspiration while the flutter valve will prevent egress of the air during expiration
  • Toxicity due to the effects of local anesthetic may be encountered either due to large dose of administration or due to inadvertent systemic absorption causing ataxia, arrhythmia etc [3]
  • Direct mechanical injury by the intercostal tube may result in phrenic nerve, [4],[5] long thoracic nerve [6] or ulnar neuropathy. [7]


 
   References Top

1.
Kwiatt M, Tarbox A, Seamon MJ, Swaroop M, Cipolla J, Allen C, et al. Thoracostomy tubes: A comprehensive review of complications and related topics. Int J Crit Illn Inj Sci 2014;4:143-55.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Mainini SE, Johnson FE. Tension pneumothorax complicating small-caliber chest tube insertion. Chest 1990;97:759-60.  Back to cited text no. 2
    
3.
Porcel JM, Brieva L, Antoni Schoenenberger J. Acute transient ataxia caused by local lidocaine injection during insertion of a pleural catheter. Arch Bronconeumol 2009;45:472-3.  Back to cited text no. 3
    
4.
Hwang MS, Chu JJ, Su WJ. Diaphragmatic paralysis caused by malposition of chest tube placement after pediatric cardiac surgery. Int J Cardiol 2005;99:129-31.  Back to cited text no. 4
    
5.
Nahum E, Ben-Ari J, Schonfeld T, Horev G. Acute diaphragmatic paralysis caused by chest-tube trauma to phrenic nerve. Pediatr Radiol 2001;31:444-6.  Back to cited text no. 5
    
6.
Hassan WU, Keaney NP. Winging of the scapula: An unusual complication of chest tube placement. J Accid Emerg Med 1995;12:156-7.  Back to cited text no. 6
    
7.
Rosing JH, Lance S, Wong MS. Ulnar neuropathy after tube thoracostomy for pneumothorax. J Emerg Med 2012;43:e223-5.  Back to cited text no. 7
    




 

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