HARD DECISIONS IN INTENSIVE CARE UNIT

Intensivecareunitkapak

TUBE THORACOSTOMY IN INTENSIVE CARE

Hakan Sarıcı

Ankara City Hospital, Department of Intensive Care, Ankara, Türkiye

Sarıcı H. Tube Thoracostomy in Intensive Care. In: Turan S, editor. Hard Decisions in Intensive Care Unit. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.339-347.

ABSTRACT

Tube thoracostomy, commonly known as chest tube placement, is a vital procedure in the management of pleural diseases such as pneumothorax, hemothorax, and pleural effusion. It serves as both a diagnostic and therapeutic intervention in a variety of clinical scenarios. From its historical origins in ancient medicine to its modern applications with advanced technology, tube thoracostomy has evolved significantly. This review provides an in-depth review of its indications, complications, procedural technique, and removal criteria, supported by literature-based evidence for accuracy and comprehensiveness.

Keywords: Tube thoracostomy; Chest tube; Pneumothorax; Pleural effusion; Pleural drainage

Referanslar

  1. Ledwani A, Ghewade B, Jadhav U, Adwani S, Wagh P, Karnan A. Unveiling Insights: A Comprehensive Review of the Role of Medical Thoracoscopy in Pleural Effusion Assessment. Cureus. 2024 Feb 3;16(2):e53516. [Crossref]
  2. Sorino C, Feller-Kopman D, Mei F, Mondoni M, Agati S, Marchetti G, Rahman NM. Chest Tubes and Pleural Drainage: History and Current Status in Pleural Disease Management. Journal of Clinical Medicine. 2024;13(21):6331. [Crossref]  [PubMed]  [PMC]
  3. Hippocrates. The Genuine Works of Hippocrates. Adams F, trans-ed. Sydenham Society; 1849. [Link]
  4. Santoshi RK, Chandar P, Gupta SS, Kupfer Y, Wiesel O. From Chest Wall Resection to Medical Management: The Continued Saga of Parapneumonic Effusion Management and Future Directions. Cureus. 2022;14:e21017. [Crossref]
  5. Monaghan SF, Swan KG. Tube thoracostomy: the struggle to the standard of care. Ann Thorac Surg. 2008;86(6):2019- 2022. [Crossref]  [PubMed]
  6. MacDuff A, Arnold A, Harvey J. BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010. Thorax. 2010;65(2):18-31. [Crossref]  [PubMed]
  7. Spain DA, Ko A, Tung J. Hemothorax and Pneumothorax. Textbook of Emergency General Surgery: Traumatic and Non-traumatic Surgical Emergencies. Cham: Springer International Publishing, 2023:711-725. [Crossref]
  8. Wolcott MW, Shaver WA, Jennings WD. Spontaneous pneumothorax. Management by tube thoracostomy and suction. Dis Chest. 1963;43(1):78-81. [Crossref]  [PubMed]
  9. Feenstra TM, Dickhoff C, Deunk J. Systematic review and meta-analysis of tube thoracostomy following traumatic chest injury; suction versus water seal. Eur J Trauma Emerg Surg. 2018;44(6):819-827. [Crossref]  [PubMed]  [PMC]
  10. Ukeh I, Fang A, Patel S, Opoku K, Nezami N. Percutaneous Chest Tube for Pleural Effusion and Pneumothorax. Semin Intervent Radiol. 2022 Aug 31;39(3):234-247. [Crossref]  [PubMed]  [PMC]
  11. Shalli S, Saeed D, Fukamachi K. Chest tube selection in cardiac and thoracic surgery: a survey of chest tube-related complications and their management. J Card Surg. 2009;24(05):503-509. [Crossref]  [PubMed]
  12. Cooke DT, David EA. Large-bore and small-bore chest tubes: types, function, and placement. Thorac Surg Clin. 2013;23(1):17-24. [Crossref]  [PubMed]
  13. Havelock T, Teoh R, Laws D, Gleeson F, BTS Pleural Disease Guideline Group Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65. [Crossref]  [PubMed]
  14. McElnay PJ, Lim E. Modern Techniques to Insert Chest Drains. Thorac. Surg. Clin. 2017;27:29-34. [Crossref]  [PubMed]
  15. John M, Razi S, Sainathan S, Stavropoulos C. Is the trocar technique for tube thoracostomy safe in the current era? Interact. Cardiovasc. Thorac. Surg. 2014;19:125-128. [Crossref]  [PubMed]
  16. Ortner CM, Ruetzler K, Schaumann N. Evaluation of performance of two different chest tubes with either a sharp or a blunt tip for thoracostomy in 100 human cadavers. Scand J Trauma Resusc Emerg Med. 2012;20(01):10. [Crossref]  [PubMed]  [PMC]
  17. Adlakha S, Roberts M, Ali N. Chest tube insertion. Eur. Respir. Monogr. 2016;74:229-239. [Crossref]
  18. Durai R, Hoque H, Davies TW, Managing a Chest Tube and Drainage System. AORN Journal. 2010 Feb;91(2):275-283. [Crossref]  [PubMed]
  19. Ergin M, Yeğinsu A, Gürlek K, Göğüs Tüpü Takılması. Ulusal Cerrahi Dergisi. 2010;26(2):115-121. [Crossref]
  20. Yenigün MB, Yüksel C, Göğüs Tüpü Yerleştirilmesi. Güncel Göğüs Hastalıkları Serisi 2018;6(2):196-201. [Link]
  21. Younes RN, et al. When to remove a chest tube? A randomized study with subsequent prospective validation. J Am Coll Surg. 2002;195:658-662. [Crossref]  [PubMed]
  22. Dev SP, et al. Chest-tube insertion. N Engl J Med. 2007;357:15. [Crossref]  [PubMed]
  23. Baumann MH, et al. Management of spontaneous pneumothorax: an ACCP Delphi consensus statement. Chest. 2001;119(2):590-602. [Crossref]  [PubMed]
  24. Tanizaki S, Maeda S, Sera M, Small tube thoracostomy (20- 22 Fr) in emergent management of chest trauma. Injury 2017 Sep;48(9), 1884-1887. [Crossref]  [PubMed]