Risk factors for pneumothorax include male sex, height, smoking and underlying lung conditions. The reported causes of bilateral trauma, tumor, iatrogenic causes. Complications Respiratory failure or arrest, Pneumoperitoneum, Pyopneumothorax, Pneumohemothorax, Pneumopericardium, Bronchopulmonary fistula, damage to the neurovascular bundle during tube thoracostomy pain skin infection at site tho...

BACKGROUND A study was undertaken to compare the efficacy of short term tube thoracostomy drainage with standard tube thoracostomy drainage before instillation of tetracycline for sclerotherapy of malignant pleural effusions. METHODS The study consisted of a randomised clinical trial in a sequential sample of 25 patients with malignant pleural effusions documented cytopathologically. Fifteen ...

STUDY OBJECTIVE The emergency management of primary spontaneous pneumothorax is controversial. This evidence-based emergency medicine review evaluates the existing evidence about the efficacy and safety of needle aspiration in comparison to tube thoracostomy for management of primary spontaneous pneumothorax. METHODS We searched MEDLINE, EMBASE, the Cochrane Library, and other databases. We s...

Study objectives: To evaluate the clinical safety, efficacy, and cost of a small indwelling pleural catheter (7F, Turkel Safety Thoracentesis System [Sherwood, Davis, and Geek; St. Louis]) vs repeated needle thoracentesis or closed tube thoracostomy as a means to drain a large-volume pleural effusion. Setting: Inpatients in a tertiary care university teaching hospital in urban Chicago. Design: ...

BACKGROUND No consensus exists as to whether antibiotic prophylaxis in tube thoracostomy as primary treatment for traumatic chest injuries reduces the incidence of surgical-site and pleural cavity infections. METHODS A systematic literature search was performed according to PRISMA guidelines to identify randomized clinical trials on antibiotic prophylaxis in tube thoracostomy for traumatic ch...

Background: Tube thoracostomy is an essential skill, and in thoracic trauma can be lifesaving. Yet a complication rate of up to 30% has been widely reported in the literature. Our primary aim was to look at the complication rate associated with chest drain insertion in trauma patients at our institution. Our secondary objectives included indications for tube thoracostomy and the differences in ...