Online ISSN: 2515-8260

Keywords : chest tube

Safety of Puncture in Deep Inspiration During Supracostal Access for PCNL

Dr. Devendra Choudhary; Dr. Om Kant Sharma; Dr. Hanuwant Singh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 8, Pages 184-187

Introduction: PCNL is most common procedure for renal calculi. Safety of PCNL puncture is very important to avoid complications. Also it should be the best target calyx punctured in best possible direction through the kidney parenchyma. Usually supracostal puncture is done at full expiration for fear of chest complications.
Method: Retrospective analysis of 300 cases of supracostal puncture done at deep inspiration is done in this study.
Results: It has shown similar complication rates like any other approach, Chest tube insertion in 1%, blood transfusion rates of 6.3%, similar length of hospital stay of average 2.02 days. Early chest tube insertion when chest complication is suspected is found to give early recovery. Conclusion:  Precautions to be taken are: Remain in lateral  part of intercostal space, remain just at superior border of lower rib and initial direction of needle to be kept vertically downwards till it passes well beyond the rib.

Characteristics in Thoracic Trauma Patients with Primary Chest Tube Affecting Length of Stay and Mortality Rate

Vasan , Puruhito , Dhihintia Jiwangga S.W

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1299-1309

Background:Thoracic trauma is the third leading cause of death after abdominal trauma and
head trauma. However, many studies show significant differences that affect morbidity and
mortality. Severe injuries to the thorax can increase the mortality rate by 25% to 30%. This
research was done in order to find predictor characteristics affecting the length of stay and
mortality in thoracic trauma patients.[1,2]
Method: A Retrospective analysis was performed on thoracic trauma patients who had primary
chest tube insertion initial therapy. Data were collected from June 2017 to October 2021 from
medical records in Dr. Soetomo teaching hospital Surabaya. Chi-square was used to compare
the variables, and Multivariabel Logistic Regression was used to identify independent predictor
for length of stay and mortality. The independet predictors were demographics, complication,
and surgical therapy during admission. P-value < 0.05 was considered statistically significant.