원저 : 응급의학과 전공의가 시행한 흉관 삽입술의 합병증에 대한 고찰
분야
의약학 > 외과학
저자
조대윤 ( Dai Yun Cho ) , 손동섭 ( Dong Suep Sohn ) , 전영진 ( Young Jin Cheon ) , 홍기훈 ( Ki Hun Hong )
발행기관
대한외상학회
간행물정보
대한외상학회지 2012년, 제25권 제2호, 37~43페이지(총7페이지)
파일형식
19400622.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: A tube thoracostomy is an invasive procedure that places patients at risk for complications. Tube thoracostomies are frequently performed by emergency medicine residents. Thus, the purpose of the study was to assess both the complication rate for tube thoracostomies performed by emergency medicine residents and the factors associated with these complications. Methods: A retrospective chart review of all patients who had undergone a tube thoracostomy performed by emergency medicine residents between January 2008 and February 2009 was conducted at a university hospital. Complications were divided into major and minor complications and into immediate and delayed complications. Complications requiring corrective surgical intervention, requiring the administration of blood products, or involving situations requiring intravenous antibiotics were defined as major. Complications that were detected within 2 hours were defined as immediate. Results: Tube thoracostomies were performed in 189 patients, and 70 patients(37%) experienced some complications. Most complications were immediate and minor. In multiple logistic regressions, BMI, hypotension and resident seniority were significantly associated with complications. Conclusion: The prevalence of complications was similar to these in previous reports on the complications of a tube thoracostomy. Most complications from tube thoracostomies performed by emergency medicine residents were immediate and minor complications. Thus, emergency medicine residents should be allowed to perform closed tube thoracostomies instead of thoracic surgeons. (J Korean Soc Traumatol 2012;25:37-43)
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