During the second session, conducted a week later, they were trained for the remaining 4 techniques: 1) chest tube insertion
, 2) pleural tap, 3) insertion of central venous pressure line, and 4) arthrocentesis.
For the ND group, 15% (n=11) had some degree of skin inflammation around the chest tube insertion
site, while fewer patients in the DSD group (72=4, 6.
It should be suspected when the patient starts having neurological symptoms while undergoing chest tube insertion
or other known chest procedures, especially while the patient is on positive pressure ventilation.
Pleural fluid, obtained by pleurocentesis or at the time of chest tube insertion
, was sent for routine microscopy and bacterial culture.
Standard chest tube insertion
requires sutures and also uses larger tubes, such as 32 Fr (1-3).
Chest tube insertion
can be very dangerous in patients with HH.
In contrast, an incorrect diagnosis of tension pneumothorax or pleural effusion is associated with inappropriate chest tube insertion
and subsequent gastro-intestinal perforation.
Aim: To audit the value of CXR after chest tube insertion
in trauma patients.
Emergent procedural techniques, such as central line placement, intubation, chest tube insertion
, and intravenous and arterial line placement.