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Video-tube thoracostomy in trauma resuscitation: A pilot study |
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| Authors: | P. Finnegan M. Fitzgerald D. Smit K. Martin J. Mathew D. Varma A. Lim S. Scott K. Williams Y. Kim B. Mitra |
| Affiliation: | 1. Trauma Service, The Alfred Hospital, 55 Commercial Road, Melbourne, VIC, 3004, Australia;2. National Trauma Research Institute, The Alfred Hospital, Melbourne, Australia;3. Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia;4. Surgical Services, The Alfred Hospital, Melbourne, Australia;5. Monash University, Faculty of Medicine, Nursing and Health Sciences, Melbourne, Australia;6. Department of Radiology, The Alfred Hospital, Melbourne, Australia |
| Abstract: | BackgroundComplications related to incorrect positioning of tube thoracostomy (TT) have been reported to be as high as 30%. The aim of this study was to assess the feasibility of flexible videoscope guided placement of a pre-loaded chest tube, permitting direct intrapleural visualization and placement (Video-Tube Thoracostomy [V-TT]).MethodsA prospective, single centre, phase 1 pilot study with a parallel control group was undertaken. The population studied were adult thoracic trauma patients requiring emergency TT who were haemodynamically stable. The intervention performed was VResultsThere were 37 patients enrolled in the study - 12 patients allocated to the VConclusionV-TT was demonstrated to be a feasible alternative to conventional thoracostomy and merits further investigation. |
| Keywords: | Videoscope Trauma Injuries Tube thoracostomy Intercostal catheter |
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