In the U.S., trauma is responsible for 140,000 annual deaths, making it the main cause of death in people under the age of 40 [1]. In 60% of trauma cases, patients suffer chest injuries, which account for about 25% of trauma-related deaths [2]. Patients with traumatic chest injuries require immediate medical intervention to minimize risk of morbidity and mortality. Most patients have chest tubes placed in the thoracic cavity via tube thoracostomy (TT) to drain accumulated fluid from pneumothorax, hemothorax, or hemopneumothorax. Because TT has no definite contraindications for a patient in respiratory distress [3], it is used to treat up to 85% of chest injuries [4].

Though properly placed chest tubes carry little risk to the patient, the standard of care for TT, blunt dissection (BD), is an imprecise and highly skilled procedure. Because the physician...

References

References
1.
Meredith
,
J. W.
, and
Hoth
,
J. J.
,
2007
, “
Thoracic Trauma: When and How to Intervene
,”
Surg. Clin. North Am.
,
87
(
1
), pp.
95
118
.
2.
Broderick
,
S. R.
,
2012
, “
Hemothorax—Etiology, Diagnosis, and Management
,”
Thorac. Surg. Clin.
,
23
(
1
), pp.
89
96
.
3.
Mohammed
,
H. M.
,
2015
, “
Chest Tube Care in Critically Ill Patient: A Comprehensive Review
,”
Egypt. J. Chest Dis. Tuberc.
,
64
(
4
), pp.
849
855
.
4.
Luchette
,
F. A.
,
Barie
,
P. S.
,
Oswanski
,
M. F.
,
Spain
,
D. A.
,
Mullins
,
C. D.
,
Palumbo
,
F.
, and
Pasquale
,
M. D.
,
2000
, “
Practice Management Guidelines for Prophylactic Antibiotic Use in Tube Thoracostomy for Traumatic Hemopneumothorax: The EAST Practice Management Guidelines Work Group
,”
J. Trauma
,
48
(
4
), pp.
753
757
.
5.
Protic
,
A.
,
Barkovic
,
I.
,
Ivancic
,
A.
,
Kricka
,
O.
,
Zuvic-Butorac
,
M.
, and
Sustic
,
A.
,
2015
, “
Accuracy of Targeted Wire Guided Tube Thoracostomy in Comparison to Classical Surgical Chest Tube Placement—A Clinical Study
,”
Inj., Int. J. Care Inj.
,
46
(
11
), pp.
2103
2107
.
6.
Lim
,
K.
,
Tai
,
S.
,
Chan
,
C.
,
Hsu
,
Y.
,
Hsu
,
W.
,
Lin
,
B.
, and
Lee
,
K.
,
2005
, “
Diagnosis of Malpositioned Chest Tubes After Emergency Tube Thoracostomy: Is Computed Tomography More Accurate Than Chest Radiograph?
,”
J. Clin. Imaging
,
29
(
6
), pp.
401
405
.
7.
Doyle
,
A.
,
White
,
T.
,
Hutton
,
A.
,
Mcguire
,
K.
,
Moondi
,
P.
, and
Young
,
P.
,
2014
, “
A New Approach for Safe Tube Thoracostomy Insertion: An Objective and Subjective Comparison Versus Established Techniques
,”
Int. J. Clin. Med.
,
5
(
2
), pp.
51
55
.
8.
Sethuraman
,
K. N.
,
Duong
,
D.
,
Mehta
,
S.
,
Director
,
T.
,
Crawford
,
D.
,
St. George
,
J.
, and
Rathlev
,
N. K.
,
2011
, “
Complications of Tube Thoracostomy Placement in the Emergency Department
,”
J. Emerg. Med.
,
40
(
1
), pp.
14
20
.
You do not currently have access to this content.