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Analysis of Tube Thoracostomy Performed by Pulmonologists at a Teaching Hospital FREE TO VIEW

Nancy A. Collop; Sola Kim; Steven A. Sahn
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From the Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston

1997 by the American College of Chest Physicians

Chest. 1997;112(3):709-713. doi:10.1378/chest.112.3.709
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Published online


Study objective: To evaluate all tube thoracostomies (TTs) done by pulmonary/critical care fellows and attending physicians in the Medical University of South Carolina's health-care system documenting patient demographics, indication for placement, size and characteristics of the tube, and associated problems.

Design: Prospective.

Setting: University health-care system, including a university hospital, a Veterans Affairs hospital, and a county hospital.

Patients: All adult patients requiring consultation by a member of the pulmonary/critical care staff for a tube thoracostomy.

Results: One hundred twenty-six tube thoracostomies were performed over a 24-month period in 91 patients. The most common initial indication for a TT was pneumothorax (69/103, 67%). Overall mortality in the patient population was 35% (32/91). Early problems (<24 hours following placement) occurred in 3% (4/126); late problems (>24 h after placement) occurred in 8% (10/126). Problems occurred in 36% (4/11) of small-bore tube placements vs 9% (10/115) of standard TT placements (p=0.02).

Conclusions: Tube thoracostomy can be safely performed by pulmonologists with relatively few associated problems.




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