What You Need To Know About Chest Tubes! скачать в хорошем качестве

What You Need To Know About Chest Tubes!

Dr. Tarlan Hedayati delves into the world of chest tubes, focusing on their use in pneumothorax and hemothorax cases. While chest tubes are commonly used, they come with potential complications. We discuss some horrifying cases to highlight the importance of proper placement. However, complications occur in about 30% of chest tubes, making it crucial to determine which cases require intervention and which can be safely observed. She presents a study that challenges the traditional teaching of intervention based on pneumothorax size. According to the study, even large pneumothoraces (greater than 32%) can be observed without intervention, as long as the patient is hemodynamically stable and closely monitored. Tarlan provides insight into the study's methodology and outcomes, suggesting that the 10-20% pneumothorax observation threshold may no longer be valid. She reviews the guidelines so hemodynamically stable patients can avoid unnecessary chest tube placement, reducing complications, hospital stays, and the need for rehab. We emphasize the importance of communication with trauma surgeons and provide insights for healthcare professionals working in facilities without trauma centers. Join Tarlan as she navigates the evolving field of chest tube management, promoting patient safety and improved outcomes through evidence-based practices. Remember to like and subscribe for more critical care and emergency medicine content. 00:08 Introduction to Chest Tubes 00:28 Complications of Chest Tubes 01:49 Determining the Need for Intervention in Pneumothorax 02:28 Observation vs Intervention in Large Pneumothorax 04:33 The 35-Millimeter Rule in Traumatic Pneumothorax 06:16 The 35-Millimeter Rule: Further Studies and Findings 09:54 The 300-Milliliter Rule in Traumatic Hemothorax 11:40 Predictors of Failure in Traumatic Hemothorax Observation 12:10 Complications of Chest Tube Placement in Hemothorax 12:33 Key Takeaways Hashtags: #ChestTubes #Pneumothorax #Hemothorax #Complications #CriticalCare #EmergencyMedicine #ObservationVsIntervention #NonInferiorityTrial #LargePneumothorax #TensionPneumothorax #35MillimeterRule #BluntTrauma #TraumaticPneumothorax #300MilliliterRule #PredictorsOfFailure