Evaluation of a novel thoracic entry device versus needle decompression in a tension pneumothorax swine model期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Evaluation of a novel thoracic entry device versus needle decompression in a tension pneumothorax swine model

Authors:	John Kuckelman Mike Derickson Cody Phillips Morgan Barron Shannon Marko Matthew Eckert Matthew Martin

Affiliation:	1. Department of Surgery, Madigan Army Medical Center, Tacoma, WA, USA;2. Trauma and Emergency Surgery Service, Legacy Emanuel Medical Center, Portland, OR, USA;3. Department of Clinical Investigations, Madigan Army Medical Center, Tacoma, WA, USA

Abstract:	Introduction Tension pneumothorax (tPTX) remains a major cause of preventable death in trauma. Needle decompression (ND) has up to a 60% failure rate. Methods Post-mortem swine used. Interventions were randomized to 14G-needle decompression (ND, n?=?25), bladed trocar with 36Fr cannula (BTW, n?=?16), bladed trocar alone (BTWO, n?=?16) and surgical thoracostomy (ST?=?11). Simulated tPTX was created to a pressure(p) of 20?mmHg. Results Success (p? Conclusion Bladed trocars can safely and effectively tPTX with a significantly higher success rates than needle decompression.

Keywords:	Bladed trocar thoracostomy Reactor Needle decompression Tension pneumothorax
本文献已被 ScienceDirect 等数据库收录！