Pneumothorax Clinical Trial
Official title:
Use of a Novel Chest Tube Insertion Device for Urgent Thoracostomy in an Emergency Department Setting
Tube thoracostomy is commonly performed in the emergency department for patients suffering
from traumatic hemo- or pneumo-thorax. The procedure involves the use of a scalpel incision
at the skin followed by blunt dissection through tissue, penetration into the thoracic
cavity, dilation of a tract for tube placement, exploration of the thoracic cavity with a
gloved finger, and finally insertion of a sterile tube into the intrathoracic space. The
procedure is considered extremely painful despite the routine provision of systemic
analgesics and local anesthetics.
Cadaver and animal studies have demonstrated the use of the Reactor chest tube device, a
squeeze-activated thoracostomy trochar with placement of a clear sheath for chest tube
insertion, to decrease procedure time, incision size, and blood loss. Case series and
observational reports suggest lower rates of procedural complication and failure as well as
increased patient satisfaction due to pain reduction.
n/a
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