Complications of pleural drainage in the practice of a military doctor
- Authors: Salimov D.S.1, Vorobev A.A.2,3, Krainyukov P.E.1,4, Glushkov I.V.2,5, Kalashnikov A.V.3
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Affiliations:
- The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- Volgograd State Medical University, Ministry of Health of the Russian Federation
- Volgograd Medical Research Center
- Peoples’ Friendship University of Russia of the Ministry of Education and Science of the Russian Federation
- 413th Military Hospital of the Ministry of Defense of the Russian Federation
- Issue: Vol 345, No 5 (2024)
- Pages: 48-54
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/631488
- DOI: https://doi.org/10.52424/00269050_2024_345_5_48
- ID: 631488
Cite item
Abstract
Chest injury is the most common type of combat injury. With the introduction of new approaches and methods of medical care in combat conditions, mortality rates from this injury have noticeably decreased, which is confirmed by the results of the operations of the US armed forces and their allies «Iraqi Freedom» and «Enduring Freedom». However, at the stages of medical evacuation, the number of deaths from wounds and chest trauma, in comparison with the Vietnam war, increased from 3 to 10%. The advanced stages of evacuation are characterized by early complications – inadequate choice of the drainage site, subcutaneous placement of drainage, intraoperative damage to the vessels, organs of the thoracic and abdominal cavity, in high-tech centers – late – coagulated hemothorax, pneumonia, pleural empyema, and several others. The study of clinical and diagnostic approaches to the provision of medical care to wounded with chest trauma is an urgent problem requiring, among other things, structuring the complications of pleural cavity drainage, optimization of diagnostic algorithms, and improvement of training methods for medical specialists.
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About the authors
D. Sh. Salimov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: cvkg_man@mail.ru
доктор медицинский наук, полковник медицинской службы
Russian Federation, MoscowA. A. Vorobev
Volgograd State Medical University, Ministry of Health of the Russian Federation;Volgograd Medical Research Center
Email: cvkg_man@mail.ru
заслуженный деятель науки РФ, профессор
Russian Federation, Volgograd; VolgogradP. E. Krainyukov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; Peoples’ Friendship University of Russia of the Ministry of Education and Science of the Russian Federation
Email: cvkg_man@mail.ru
доктор медицинских наук, доктор военных наук, доцент, генерал-майор медицинской службы
Russian Federation, Moscow; MoscowI. V. Glushkov
Volgograd State Medical University, Ministry of Health of the Russian Federation; 413th Military Hospital of the Ministry of Defense of the Russian Federation
Email: cvkg_man@mail.ru
подполковник медицинской службы
Russian Federation, Volgograd; VolgogradA. V. Kalashnikov
Volgograd Medical Research Center
Email: cvkg_man@mail.ru
доктор медицинских наук, доцент
Russian Federation, VolgogradReferences
- Денисов А.В., Бадалов В.И., Крайнюков П.Е., Гончаров А.В., Маркевич В.Ю. и др. Структура и характер современной боевой хирургической травмы // Воен.-мед. журн. – 2021. – Т. 342, № 9. – С. 12–20. doi: 10.52424/00269050_2021_342_9_12
- Денисов А.В., Крайнюков П.Е., Логаткин С.М., Юдин А.Б., Кокорин В.В. и др. Огнестрельные ранения груди и живота при использовании современных бронежилетов // Вестн. Рос. воен.-мед. акад. – 2020. – № 2 (70). – С. 115–121.
- Есипов А.В., Абушинов В.В., Онищенко А.А., Алехнович А.В. Применение процессного подхода к организации оказания специализированной медицинской помощи пострадавшим при дорожной политравме // Госпит. медиц.: наука и практика. – 2019. – Т. 1, № 3. – С. 10–15.
- Есипов А.В., Алехнович А.В., Фокин Ю.Н., Пешехонов Э.В., Апевалов С.И. Дорожная политравма как синдромосходное состояние: организационно-клинические аспекты и основные направления совершенствования медицинской помощи в многопрофильном стационаре // Госпит. медиц.: наука и практика. – 2019. – Т. 1, № 3. – С. 5–9.
- Есипов А.В., Фокин Ю.Н., Пешехонов Э.В., Апевалов С.И., Алехнович А.В., Есипов А.С. Дорожная политравма: опыт организации лечебно-диагностического процесса в многопрофильном стационаре // Воен.-мед. журн. – 2020. – Т. 341, № 6. – С. 9–15.
- Крайнюков П.Е., Боско О.Ю., Салимов Д.Ш., Папков А.Ю., Ермолаева Н.К. Участие базового госпиталя в работе региональной травмосистемы // Воен.-мед. журн. – 2013. – Т. 334, № 4. – С. 4–8.
- Крайнюков П.Е., Половинка В.С., Абашин В.Г., Столяр В.П., Булатов М.Р. и др. Организация медицинской помощи в тактической зоне боевых действий в современной войне // Воен.-мед. журн. – 2019. – Т. 340, № 7. – С. 4–13.
- Крайнюков П.Е., Самохвалов И.М., Рева В.А. Тактическая медицина – новая концепция для войн «нового типа» // Воен.-мед. журн. – 2021. – Т. 342, № 5. – C. 4–17. doi: 10.52424/00269050_2021_342_5_04
- Салимов Д.Ш., Крайнюков П.Е., Воробьев А.А., Калашников А.В., Травин Н.О. Дренирование плевральной полости при неотложных состояниях в торакальной хирургии: извлеченные уроки // Вестн. Национ. мед.-хир. центра им. Н.И.Пирогова. – 2020. – Т. 15, № 1. – С. 113–119.
- Самохвалов И.М., Бадалов В.И., Рева В.А., Головко К.П., Петров А.Н. и др. Перспективные технологии оказания хирургической помощи раненым // Воен.-мед. журн. – 2013. – Т. 334, № 6. – С. 24–30.
- Самохвалов И.М., Головко К.П., Крайнюков П.Е., Чуприна А.П., Супрун Т.Ю. и др. Проблема устранения открытого и напряженного пневмоторакса на передовых этапах медицинской эвакуации и пути ее решения // Воен.-мед. журн. – 2020. – Т. 341, № 3. – С. 23–32.
- Bailey R.C. Complications of tube thoracostomy in trauma // J. Accid. Emerg. Med. – 2000. – Vol. 17. – P. 111–114. doi: 10.1136/emj.17.2.111
- Baldt M.M., Bankier A.A., Germann P.S. et al. Complications after emergency tube thoracostomy: assessment with CT // Radiology. – 1995. – N 2. – P. 539–543. DOI: org/10.1148/radiology.195.2.7724780
- Baskett R.J., MacDougall C.E., Ross D.B. Is mediastinitis a preventable complication? A 10-year revie // Ann. Thorac. Surg. – 1999. – Vol. 67. – P. 462–465. doi: 10.1016/s0003-4975(98)01195-3
- Bellamy R.F. History of surgery for penetrating chest trauma // Chest. Surg. Clin. North Am. – 2000. – N 10. – P. 55–70.
- Bozzay D, Walker P.F., Alley E.R. Tube Thoracostomy Management in the Combat Wounded // The Amer. Surg. – 2018/ – N 1. DOI: org/10.1177/000313481808400852
- Chemelli A.P., Thauerer M., Wiedermann F. et al. Transcatheter arterial embolization for the management of iatrogenic and blunt traumatic intercostal artery injuries // J. Vasc. Surg. – 2009. – Vol. 49. – P. 1505–1513. doi: 10.1016/j.jvs.2009.02.001
- Collop N.A., Kim S., Sahn S.A. Analysis of tube thoracostomy performed by pulmonologists at a teaching hospital // Chest. – 1997. – Vol. 112. – P. 709–713. doi: 10.1378/chest.112.3.709
- Fraser R.S. Lung perforation complicating tube thoracostomy: Pathologic description of three cases // Hum. Pathol. – 1988. – Vol. 19. – P. 518–523. doi: 10.1016/s0046-8177(88)80197-7
- Gonzalez R.P., Holevar M.R. Role of prophylactic antibiotics for tube thoracostomy in chest trauma // Am. Surgeon. – 1998. – Vol. 40, N 7. – P. 617–620.
- Gooding C.A., Kerlan R.K., Brasch R.C. Partial aortic obstruction produced by a thoracostomy tube // J. Pediatr. – 1981. – Vol. 98. – P. 471–473.
- Hsu S.P., Wang H.C., Huang I.T. et al. Tube thoracostomy-related necrotizing fasciitis: a case report. Kaohsiung // J. Med. Sci. – 2006. – N 12. – P. 636–640.
- Icoz G., Kara E., Ilkgul O. et al. Perforation of the stomach due to chest tube complication in a patient with iatrogenic diaphragmatic rupture // Acta Chir. Belgica.– 2003. – N 4. – P. 423–424. doi: 10.1080/00015458.2003.11679459
- Kao C.L., Lu M.S., Chang J.P. Successful management of pulmonary artery perforation after chest tube insertion // J. Trauma. – 2007. – Vol. 62. – P. 1533. doi: 10.3978/j.issn.2072-1439.2015.07.01
- Kaya S.O., Liman S.T., Bir L.S. et al. Horner’s syndrome as a complication in thoracic surgical practice // Eur. J. Cardiothorac Surg. – 2003. – N 24. – P. 1025–1028. doi: 10.1016/j.ejcts.2003.09.014
- Kesieme E.B., Dongo A., Ezemba N. et al. Tubethoracostomy: Complications and its management // Pulm. Med. – 2012. – N 2. – P. 568–578. doi: 10.1155/2012/256878
- Knyazer B., Levy J., Marcus M., Lifshitz T. Horner syndrom secondary to chest tube insertion for pneumothorax // Asian J. Ophthalmol. – 2008. – N 10. – P. 27–29.
- Laws D., Neville E., Duffy J. BTS guidelines for the insertion of a chest drain // Thorax. – 2003. – Vol. 58, suppl. 2. – P. 55–59. doi: 10.1136/thorax.58.suppl_2.ii53
- Lenhart M.K., Savitsky E., Eastbridge B., Eastridge B. Combat casualty care: lessons learned from OEF and OIF. – United States: Department of the Army, 2012.
- Limsukon А., Yick D., Kamangar N. Chylothorax: a rare complication of tube thoracostomy // J. Emergency Med. – 2008. – N 3. – P. 280–282. doi: 10.1016/j.jemermed.2007.12.023
- Mayberry J.C., Kroeker A.D., Ham L.B. et al. Long-term morbidity, pain, and disability after repair of severe chest wall injuries // Am. Surg. – 2009. – Vol. 75. – P. 389–394.
- Osinowo O., Softah A.L., Eid Zahrani M. Ectopic chest tube insertions: Diagnosis and strategies for prevention // Afr. J. Med. Sci. – 2002. – Vol. 31. – P. 67–70.
- Ozpolat B., Yazkan R. Ectopic chest tube insertion to thoracic wall // Turkish J. of Geriatr. – 2007. – N 10. – P. 40–42.
- Schley M., Rцssler M., Konrad C.J., Schupfer G. Damage of the subclavian vein with a thorax drainage // Anaesthesist. – 2009. – Vol. 58. – P. 387–390. doi: 10.1007/s00101-009-1507-2
- Senanayake E.L., Poon H., Graham T.R., Midwinter M.J. UK specialist cardiothoracic management of thoracic injuries in military casualties sustained in the wars in Iraq and Afghanistan // Eur. J. Cardiothorac Surg. – 2014. – Vol. 45, N 6. – P. e202–e207. doi: 10.1093/ejcts/ezu076
- Shapira O.M., Aldea G.S., Kupferschmid J., Shemin R.J. Delayed perforation of the esophagus by a closed thoracostomy tube // Chest. – 1993. – Vol. 104. – P. 1897–1898. doi: 10.1378/chest.104.6.1897
- Stark D.D., Federle M.P., Goodman P.C. CT and radiographic assessment of tube thoracostomy // The Am. J. Roentgenology. – 1983. – N 2. – P. 253–258. doi: 10.1155/2012/256878
- Stawicki S.P., Sarani B., Braslow B.M. Reexpansion pulmonary edema. OPUS 12 // Scientist. – 2008. – N 2. – P. 29–31.
- Tait P., Waheed U., Bell S. Successful removal of malpositioned chest drain within the liver by embolization of the transhepatic track // Cardiovasc. Intervent. Radiol. – 2009. – Vol. 32. – P. 825–827. doi: 10.1007/s00270-008-9461-y
- Taub P.J., Lajam F., Kim U. Erosion into the subclavian artery by a chest tube // J. Trauma. – 1999. – Vol. 47. – P. 972–974. doi: 10.1097/00005373-199911000-00030
- Tyler J.A., Clive K.S., White C.E. et al. Current US military operations and implications for military surgical training // J. Am. Coll. Surg. – 2010. – Vol. 211, N 5. – P. 658–662. doi: 10.1016/j.jamcollsurg.2010.07.009
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