Description #
There are 2 components to knowing how to perform a procedure:
1) cognitive understanding of the procedure (i.e. indications, contraindications, complications, ordered steps)
2) the psychomotor coordination and technical skill of performing the procedure itself.
The module will be organized into phases, moving from purely cognitive to progressively more psychomotor skill acquisition.
Phase1: Pre-course reading materials to include indications, contraindications, complications, ordered steps of each procedure.
Phase 2: Instructor demonstrates performance of the procedure. The learner then performs the procedure on a simulation model with supervision and feedback from the instructor.
Phase 3: Human Patient Simulator and Simman simulation scenarios. The learner must now manage the resuscitation of a critically ill patient in parallel with clinical decision-making, team leadership, and appropriate timing of the procedure during real-time patient encounters.
Learning Objectives #
At the end of this unit, learners should be able to perform:
1. Needle Thoracostomy
2. Tube Thoracostomy
Lecture on Chest Tube Insertion by : #
Dr. Afshn Khazei,MD,FRCPC,ABEM,ABPM-HB,CCFP,AAFP
Article 1 #
Role of prophylactic antibiotics for tube thoracostomy in chest trauma.
Gonzalez RP, Holevar MR. Role of prophylactic antibiotics for tube thoracostomy in chest trauma. Am Surg. 1998 Jul;64(7):617-20; discussion 620-1. PMID: 9655270.
Article 2 #
Treatment of pneumothorax in newborns: use of venous catheter versus chest tube.
Arda IS, Gürakan B, Alíefendíoğlu D, Tüzün M. Treatment of pneumothorax in newborns: use of venous catheter versus chest tube. Pediatr Int. 2002 Feb;44(1):78-82. doi: 10.1046/j.1442-200x.2002.01502.x. PMID: 11982877.
Article 3 #
Role of Prophylactic Antibiotics for Tube Thoracostomy in Chest Trauma
K Chaiyasate, W Nawarawong
Thai journal of surgery, 2001, 22(2), 69 | added to CENTRAL: 31 January 2008 | 2008 Issue 1
Article 4 #
Management of Emergency Department Patients With Primary Spontaneous Pneumothorax: Needle Aspiration or Tube toracostomy?
Zehtabchi S, Rios CL. Management of emergency department patients with primary spontaneous pneumothorax: needle aspiration or tube thoracostomy? Ann Emerg Med. 2008 Jan;51(1):91-100, 100.e1. doi: 10.1016/j.annemergmed.2007.06.009. Epub 2007 Sep 29. Erratum in: Ann Emerg Med. 2008 Mar;51(3):309. PMID: 18166436.
Article 5 #
Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults.
Carson-Chahhoud KV, Wakai A, van Agteren JE, Smith BJ, McCabe G, Brinn MP, O’Sullivan R. Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults. Cochrane Database Syst Rev. 2017 Sep 7;9(9):CD004479. doi: 10.1002/14651858.CD004479.pub3. PMID: 28881006; PMCID: PMC6483783.
Article 6 #
Aspiration versus tube drainage in primary spontaneous pneumothorax: a randomised study.
Ayed AK, Chandrasekaran C, Sukumar M. Aspiration versus tube drainage in primary spontaneous pneumothorax: a randomised study. Eur Respir J. 2006 Mar;27(3):477-82. doi: 10.1183/09031936.06.00091505. PMID: 16507846.
CyberPatient Educational Materials
Needle Thorocostomy
Tube Thorocostomy Video
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