Chest tube devices

[Hardcastle, Tim, Dr <tch at sun.ac.za>]

Evelyn

Simple: Seldinger and other techniques ARE NOT FOR TRAUMA!!!!!!! These devices were designed for the treatment of spontaneous PNEUMOthorax and we know that even the smallest amount of blood will clog them up, since the lumen diameter is too small.

Wheneever we've been sent trauma patients with these placed by other "non-trauma" hospitals there has been complications.

There is definitely something to be said for the ATLS method.

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302



-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Emjogger at aol.com
Sent: Wednesday, February 27, 2008 3:41 AM
To: trauma-list at trauma.org
Subject: Chest tube devices


Dear List Members:

I am looking for information and feedback from those of you who have used or 
have experience with newer chest tube devices ( seldinger technique vs other 
percutaneous method) vs the traditional method of insertion.

Any comment on techniques or devices is welcome.

Please feel free to respond off list if you prefer.

Evelyn Cardenas, MD
Thousand Oaks, CA



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