RESEARCH SUPPORT, NON-U.S. GOV'T
Traumatic haemothorax--experience of a protocol for rapid turnover in 1,845 cases.
Incomplete or prolonged drainage of the pleural cavity for haemothorax may lead to the development of empyema, with long-term morbidity. Using a protocol based on vigorous physiotherapy and early withdrawal of the thoracostomy tube (average drainage time 27.1 hours), hospital stay in 1,845 patients with traumatic haemothorax was 48 hours or less in 81.8% of patients. In all, 152 haemothorax patients (8.1%) required either early or late thoracotomy, 46 of which were for associated cardiac injury. Prophylactic antibiotics were not given routinely. Severe complications occurred in 40 patients (2.2%); 15 developed empyema (0.8%) and 25 died (1.4%), mainly from ongoing haemorrhage. The early identification of patients needing operative or other intervention minimises the hospital stay and complications associated with residual blood in the pleural cavity. This study shows that the short-period drainage protocol used gives very acceptable results in the treatment of traumatic haemothorax.
Full text links
Trending Papers
Diabetic kidney disease in type 2 diabetes: a consensus statement from the Swiss Societies of Diabetes and Nephrology.Swiss Medical Weekly 2023 January 7
Systemic complications of rheumatoid arthritis: Focus on pathogenesis and treatment.Frontiers in Immunology 2022
Migraine.Annals of Internal Medicine 2023 January 11
Long COVID: major findings, mechanisms and recommendations.Nature Reviews. Microbiology 2023 January 14
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
Read by QxMD is copyright © 2021 QxMD Software Inc. All rights reserved. By using this service, you agree to our terms of use and privacy policy.
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app