Articles: thoracostomy-instrumentation.
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ThoraQuik is a device with a unique design incorporating an aspiration port and one-way valve controlled by a three-way tap, fit for purpose for the treatment of pneumothorax and pleural effusion. Its use, safety and efficacy were evaluated in a prospective observational trial. ⋯ ThoraQuik achieves satisfactory penetration of the chest wall. It was safe and easy to use to manage pneumothoraces and pleural effusions.
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Comparative Study
Targeted wire-guided chest tube placement: a cadaver study.
Chest tube thoracostomy is a standard procedure for pleural fluid and air drainage. The aim of this study is to compare the success rate of the targeted tube thoracostomy using two different techniques: a targeted wire-guided (TWG) technique and a classical surgical (CS) technique. ⋯ A higher success rate was achieved with the TWG than with the CS thoracostomy technique.
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Tension pneumothorax requires emergent decompression. Unfortunately, some needle thoracostomies (NTs) are unsuccessful because of insufficient catheter length. All previous studies have used thickness of the chest wall (based on cadaver studies, ultrasonography or computed tomography [CT]) to extrapolate probable catheter effectiveness. The objective of this clinical study was to identify the frequency of NT failure with various catheter lengths. ⋯ Tension pneumothorax decompression using a 3.2-cm catheter was unsuccessful in up to 65% of cases. When a larger 4.5-cm catheter was used, fewer procedures (4%) failed. Thoracic ultrasonography can be used to confirm NT placement.
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Paediatric anaesthesia · Jun 2009
The anterior to midaxillary line between the 4th or 5th intercostal space (Buelau position) is safe for the use of thoracostomy tubes in preterm and term infants.
Thoracostomy tubes are widely used in neonatology. Complications occurred significantly more frequently in infants, especially neonates, than in adults. Principally, the access is the modified Buelau position which takes place in the anterior axillary line at the 4th or 5th intercostal space above the margin of the ribs. ⋯ The anterior to midaxillary line between the 4th or 5th intercostal space (Buelau position) is safe for the use of thoracostomy tubes in preterm and term infants.
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Thorac Cardiovasc Surg · Mar 2009
Comparative StudyThe 19Fr Blake drain versus the 28Fr conventional drain after a lobectomy for lung cancer.
Small silastic flexible drains (Blake drains, Ethicon, Somerville, NJ, USA) are now widely used for drainage after thoracic surgery. Despite their increasing use, their advantages are still unclear. ⋯ The use of a 19Fr Blake drain instead of a 28Fr conventional drain as a means of performing drainage after a lobectomy for primary lung cancer appears to have no disadvantages.