Book contents
- Atlas of Surgical Techniques in Trauma
- Atlas of Surgical Techniques in Trauma
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- Acknowledgments
- Section 1 The Trauma Operating Room
- Section 2 Resuscitative Procedures in the Emergency Room
- Chapter 2 Cricothyroidotomy
- Chapter 3 Thoracostomy Tube Insertion
- Chapter 4 Emergency Room Resuscitative Thoracotomy
- Section 3 Head
- Section 4 Neck
- Section 5 Chest
- Section 6 Abdomen
- Section 7 Pelvic Fractures and Bleeding
- Section 8 Upper Extremities
- Section 9 Lower Extremities
- Section 10 Orthopedic Damage Control
- Section 11 Soft Tissues
- Index
Chapter 3 - Thoracostomy Tube Insertion
from Section 2 - Resuscitative Procedures in the Emergency Room
Published online by Cambridge University Press: 21 October 2019
- Atlas of Surgical Techniques in Trauma
- Atlas of Surgical Techniques in Trauma
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- Acknowledgments
- Section 1 The Trauma Operating Room
- Section 2 Resuscitative Procedures in the Emergency Room
- Chapter 2 Cricothyroidotomy
- Chapter 3 Thoracostomy Tube Insertion
- Chapter 4 Emergency Room Resuscitative Thoracotomy
- Section 3 Head
- Section 4 Neck
- Section 5 Chest
- Section 6 Abdomen
- Section 7 Pelvic Fractures and Bleeding
- Section 8 Upper Extremities
- Section 9 Lower Extremities
- Section 10 Orthopedic Damage Control
- Section 11 Soft Tissues
- Index
Summary
Strict antiseptic precautions and personal protective equipment should be used during the procedure. A single dose of prophylactic antibiotics with Cefazolin should be administered before the procedure. There is no need for further prophylaxis.
Chest tubes can be inserted with an open or percutaneous dilational technique.
The site of insertion is the same for open or percutaneous insertion and for hemothorax or pneumothorax, at the fourth or fifth intercostal space, at the level of the nipple in males.
Autotransfusion should be considered in all cases with large hemothoraces.
- Type
- Chapter
- Information
- Atlas of Surgical Techniques in Trauma , pp. 16 - 22Publisher: Cambridge University PressPrint publication year: 2020