B C Axtman1, K E Stewart1, J M Robbins1, T Garwe1, Z Sarwar1, R A Gonzalez1, T L Zander1, F M Balla1, R M Albrecht2. 1. University of Oklahoma Health Sciences Center, Department of Surgery, 800 Stanton L Young Blvd, Suite 9000, Oklahoma City, OK, 73104, USA. 2. University of Oklahoma Health Sciences Center, Department of Surgery, 800 Stanton L Young Blvd, Suite 9000, Oklahoma City, OK, 73104, USA. Electronic address: roxie-albrecht@ouhsc.edu.
Abstract
OBJECTIVE: This study examined the indications for prehospital needle thoracostomy (pNT), the need for tube thoracostomy (TT) following pNT, and the outcomes of patients who underwent pNT. METHODS: This study is a retrospective chart review of patients who underwent pNT prior to trauma center arrival. Patients were identified from the trauma registry and a quality improvement (QI) database from 9/2014-9/2018. RESULTS: 59 patients underwent 63 pNTs during the time period. The indication for pNT was "hypotension" in only 5 patients (7.9%). A CT chest was obtained on 51 NT attempts with the catheter in place. In 48 (94.1%) NT attempts, the catheter was not in the pleural space. 44 (69.4%) TTs were placed on admission date. CONCLUSION: In patients undergoing pNT, hypotension was rarely the indication. Additionally, CT identified the catheter within the pleural space in only 3 (5.8%) NT attempts. TT placement was performed in 79.3% of NT attempts.
OBJECTIVE: This study examined the indications for prehospital needle thoracostomy (pNT), the need for tube thoracostomy (TT) following pNT, and the outcomes of patients who underwent pNT. METHODS: This study is a retrospective chart review of patients who underwent pNT prior to trauma center arrival. Patients were identified from the trauma registry and a quality improvement (QI) database from 9/2014-9/2018. RESULTS: 59 patients underwent 63 pNTs during the time period. The indication for pNT was "hypotension" in only 5 patients (7.9%). A CT chest was obtained on 51 NT attempts with the catheter in place. In 48 (94.1%) NT attempts, the catheter was not in the pleural space. 44 (69.4%) TTs were placed on admission date. CONCLUSION: In patients undergoing pNT, hypotension was rarely the indication. Additionally, CT identified the catheter within the pleural space in only 3 (5.8%) NT attempts. TT placement was performed in 79.3% of NT attempts.
Authors: Michael M Neeki; Christina Cheung; Fanglong Dong; Nam Pham; Dylan Shafer; Arianna Neeki; Keeyon Hajjafar; Rodney Borger; Brandon Woodward; Louis Tran Journal: Trauma Surg Acute Care Open Date: 2021-08-27