Author/Authors :
Paydar، Shahram نويسنده rauma Research Center, Shahid Rajaee (Emtiaz) Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , , Ghahramani، Zahra نويسنده Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran , , Ghoddusi Johari، Hamed نويسنده Trauma Research Center, Shahid Rajaee (Emtiaz) Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , , Khezri، Samad نويسنده Trauma Research Center, Shahid Rajaee (Emtiaz) Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , , Ziaeian، Bizhan نويسنده Department of Thoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran , , Ghayyoumi، Mohammad Ali نويسنده Department of Internal Medicine, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , , Fallahi، Mohammad Javad نويسنده Pulmonary and Critical Care Division, Department of Internal Medicine, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , , Niakan، Mohammad Hadi نويسنده Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran , , Sabetian، Golnar نويسنده Department of Intensive Care Medicine, Trauma Research Center, Shahid Rajaee (Emtiaz) Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , , Abbasi، Hamid Reza نويسنده , , Bolandparvaz، Shahram نويسنده ,
Abstract :
Chest tube (CT) or tube thoracostomy placement is often indicated following traumatic injuries. Premature movement of the chest tube leads to increased hospital complications and costs for patients. Placement of a chest tube is indicated in drainage of blood, bile, pus, drain air, and other fluids. Although there is a general agreement for the placement of a chest tube, there is little consensus on the subsequent management. Chest tube removal in trauma patients increases morbidity and hospital expense if not done at the right time. A review of relevant literature showed that the best answers to some questions about time and decision-making have been long sought. Issues discussed in this manuscript include chest tube removal conditions, the need for chest radiography before and after chest tuberemoval, the need to clamp the chest tube prior to removal, and drainage rate and acceptability prior to removal.
