[논문]응급의학과 전공의가 시행한 흉관 삽입술의 합병증에 대한 고찰

조대윤; 손동섭; 전영진; 홍기훈

응급의학과 전공의가 시행한 흉관 삽입술의 합병증에 대한 고찰
Complications of a Tube Thoracostomy Performed by Emergency Medicine Residents 원문보기

大韓外傷學會誌 = Journal of the Korean Society of Tranumatology, v.25 no.2, 2012년, pp.37 - 43

조대윤 (중앙대학교 의과대학 흉부외과학교실) , 손동섭 (중앙대학교 의과대학 흉부외과학교실) , 전영진 (이화여자대학교 의과대학 응급의학교실) , 홍기훈 (중앙대학교 대학원 의학과 예방의학과)

Abstract ▼ AI-Helper

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.

주제어

참고문헌 (22)

Sethuraman KN, Duong D, Mehta S, Director T, Crawford D, St George J, et al. Complications of tube thoracostomy placement in the emergency department. J Emerg Med 2011;40:14-20.

상세보기
Bailey RC. Complications of tube thoracostomy in trauma. J Accid Emerg Med 2000;17:111-4.

상세보기
Hishikawa S, Kawano M, Tanaka H, Konno K, Yasuda Y, Kawano R, et al. Mannequin simulation improves the confidence of medical students performing tube thoracostomy: a prospective, controlled trial. Am Surg. 2010;76:73-8.
Custalow CB, Kline JA, Marx JA, Baylor MR. Emergency department resuscitative procedures: animal laboratory training improves procedural competency and speed. Acad Emerg Med. 2002;9:575-86.

상세보기
Lee KW. Clinical analysis of trauma surgery patients in a local emergency center; Does emergency physicians' treatment delay the surgeons'special care like emergency operations for trauma victims? J Korean Soc Traumatol 2007;20:19-25.
Hyun SY, Oh SW, Kim JK, Lim YS, Yang HJ, Lee G, et al. Clinical analysis of patients with thorax or neck trauma treated with emergent operations. J Korean Soc Traumatol 2003;16:116-23.
WHO/IASO/IOTF. The Asia-Pacific perspective: redefining obesity and its treatment. Health Communications Australia: Melbourne, 2000. Available at:http://apps.who.int/bmi/index.jsp?introPageintro_3 .html Accessed May 1. 2010.
Chan L, Reilly KM, Henderson C, Kahn F, Salluzzo RF. Complication rates of tube thoracostomy. Am J Emerg Med 1997;15:368-70.

상세보기
Etoch SW, Bar-Natan MF, Miller FB, Richardson JD. Tube thoracostomy. Factors related to complications. Arch Surg 1995;130:521-5.

상세보기
Helling TS, Gyles NR 3rd, Eisenstein CL, Soracco CA. Complications following blunt and penetrating injuries in 216 victims of chest trauma requiring tube thoracostomy. J Trauma 1989;29:1367-70.

상세보기
Millikan JS, Moore EE, Steiner E, Aragon GE, Van Way CW. Complications of tube thoracostomy in acute trauma. Am J Surg 1980;140:738-41.

상세보기
Sato S, Demura S. Regional subcutaneous fat characteristics stratified by sex, age, and obesity, and their relationships with total and visceral fat in a Japanese population. J Physiol Anthropol 2009;28:231-8.

상세보기
Fujiki M, Guta CG, Lemmens HJ, Brock-Utne JG. Is it more difficult to cannulate the right internal jugular vein in morbidly obese patients than in nonobese patients? Obes Surg 2008;15:1157-9.
Lefrant JY, Muller L, De La Coussaye JE, Prudhomme M, Ripart J, Gouzes C, et al. Risk factors of failure and immediate complication of subclavian vein catheterization in critically ill patients. Intensive Care Med 2002; 28:1036-41.

상세보기
Patel AD, Albrizio M. Relationship of body mass index to early complications in knee replacement surgery. Arch Orthop Trauma Surg 2008;128:5-9.

상세보기
Yadla S, Malone J, Campbell PG, Maltenfort MG, Harrop JS, Sharan AD, et al. Obesity and spine surgery: reassessment based on a prospective evaluation of perioperative complications in elective degenerative thoracolumbar procedures. Spine J 2010 Article in Press, Corrected Proof.
Gillespie GN, Porteous AJ. Obesity and knee arthroplasty. Knee 2007;14:81-6.

상세보기
Phua GC, Wahidi MM. ICU procedures of the critically ill. Respirology 2009;14:1092-7.

상세보기
Remerand F, Luce V, Badachi Y, Lu Q, Bouhemad B, Rouby JJ. Incidence of chest tube malposition in the critically ill: a prospective computed tomography study. Anesthesiology 2007;106:1112-9.

상세보기
Huber-Wagner S, Korner M, Ehrt A, Kay MV, Pfeifer KJ, Mutschler W, et al. Emergency chest tube placement in trauma care - which approach is preferable? Resuscitation 2007;72:226-33.

상세보기
Ball CG, Lord J, Laupland KB, Gmora S, Mulloy RH, Ng AK, et al. Chest tube complications:how well are we training our residents? Can J Surg 2007;50:450-8.

상세보기
Maritz D, Wallis L, Hardcastle T. Complications of tube thoracostomy for chest trauma. S Afr Med J 2009;99: 114-7.

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

응급의학과 전공의가 시행한 흉관 삽입술의 합병증에 대한 고찰
Complications of a Tube Thoracostomy Performed by Emergency Medicine Residents 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (22)

이 논문을 인용한 문헌

저자의 다른 논문 :

관련 콘텐츠

원문 보기

원문 URL 링크

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

응급의학과 전공의가 시행한 흉관 삽입술의 합병증에 대한 고찰 Complications of a Tube Thoracostomy Performed by Emergency Medicine Residents 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (22)

이 논문을 인용한 문헌

저자의 다른 논문 :

조대윤 (18) 손동섭 (24) 전영진 (5)

관련 콘텐츠

원문 보기

원문 URL 링크

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

응급의학과 전공의가 시행한 흉관 삽입술의 합병증에 대한 고찰
Complications of a Tube Thoracostomy Performed by Emergency Medicine Residents 원문보기