1. Accuracy of targeted wire-guided tube thoracostomy in comparison with classical surgical chest tube placement: a clinical study
- Author
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Alan Šustić, Alen Protić, Marta Zuvic-Butorac, Igor Barković, Aldo Ivančić, and Ozren Krička
- Subjects
Adult ,Male ,medicine.medical_specialty ,Pediatrics ,Drainage procedure ,Pleural effusion ,medicine.medical_treatment ,wire-guided tube thoracostomy, classical surgical chest tube placement ,Thoracostomy ,Critical Care and Intensive Care Medicine ,Chest tube placement ,Pneumothorax ,Targeted thoracostomy ,Thoracic trauma ,Catheterization ,Clinical study ,Humans ,Medicine ,Tube (fluid conveyance) ,Tip position ,General Environmental Science ,Aged ,business.industry ,Reproducibility of Results ,Pleural cavity ,Middle Aged ,medicine.disease ,Pleural Effusion ,Chest tube ,medicine.anatomical_structure ,Chest Tubes ,Dilator ,Poster Presentation ,Practice Guidelines as Topic ,General Earth and Planetary Sciences ,Drainage ,Female ,Radiology ,business - Abstract
BACKGROUND: Chest tube malfunction, after the tube thoracostomy, is often the result of an inappropriate chest tube tip position. The aim of this study was to analyse the precision of chest tube placement using the targeted wire guide technique (TWG technique) with curve dilator and to compare it to the classical surgical technique (CS technique). MATERIALS AND METHODS: In this clinical study 80 patients with an indication for thoracic drainage, due to pneumothorax or pleural effusion were included. Experimental group contained 39 patients whose chest tube was placed using the TWG technique. The control group contained 41 patients whose chest tube was placed using the CS technique. RESULTS: The comparison of the outcomes of the two techniques applied suggests that the TWG technique was significantly more successful in achieving adequate (precise) chest tube placement, irrespective of patient diagnosis (TWG vs. CS in all patients, 78.4% vs. 36.6%, p
- Published
- 2015
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