Systematic review and meta-analysis of tube thoracostomy following traumatic chest injury; suction versus water seal
European journal of trauma and emergency surgery : official publication of the European Trauma Society | 17 Mar 2018
TM Feenstra, C Dickhoff and J Deunk
Tube thoracostomy is frequently used in thoracic trauma patients. However, there is no consensus on whether low pressure suction or water seal is the optimal method of tube management. Against this background, we performed a systematic review of studies comparing suction and water seal management of chest tubes placed for traumatic chest injuries in adults. Evaluated outcomes are duration of chest tube treatment, length of stay in hospital, incidence of persistent air leak, clotted hemothorax, and the need for (re-)interventions.
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