KMID : 0360720090220010001
|
|
Journal of the Korean Society Traumatology 2009 Volume.22 No. 1 p.1 ~ p.4
|
|
Study of the Length of Needle Thoracostomy Catheter Needed for Patients with Chest Trauma
|
|
Kang Sung-Won
Ryoo Hyun-Wook Park Jeong-Bae Seo Kang-Suk Chung Jae-Myung
|
|
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 trauma
Methods: 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<0.001). Of the studied patients, 12 (6.0%) a CWT > 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.
|
|
KEYWORD
|
|
Thoracostomy, Pneumothorax, Thoracic injuries
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|