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Investigate the efficacy of interprofessional team approach to ultrasound guided diagnosis and intervention (pigtail or chest tube insertion) in critical care patients with Pneumothorax and/or hemothorax.
Evaluate the safety of the procedure {Insertion- related complications. Assess the Duration of chest tube insertion
Pneumothorax is defined as the presence of air in the pleural cavity; it can be secondary to underlying pulmonary pathology or trauma. In trauma, about 40-50% of thoracic injuries develop pneumothorax. Traditionally, following the suggestion of the American College of Chest Physicians and the Advanced Trauma Life Support (ATLS), all traumatic pneumothoraxes must be treated with a pleural drainage that could be chest tube (CT) or pigtail catheter (PC).
Insertion of pleural drains is a common surgical procedure. Percutaneous pleural drainage is the third most performed procedure in the intensive care unit (ICU) after vascular catheterization and tracheal intubation.
Bedside-ultrasound is introducing the advantage of at-time diagnosis and evaluation of different parameters without the need for risky transport of critical patients outside ICU and also guiding safe and successful intervention without complications and good learning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I | Experimental | The Technique was performed according to combination of the BTS guidelines for chest tube insertion and US-guided technique for chest tube insertion by Dev et al. and Menegozzo et al. and US-guided pigtail insertion by Vetrugno et al |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chest-Tube Insertion | Diagnostic Test | The technique was performed according to a combination of the Chest-Tube Insertion (BTS) guidelines for chest tube insertion and ultrasound (US)-guided technique for chest tube insertion and US-guided pigtail insertion. |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of ultrasound diagnosis | Efficacy of ultrasound in intervention by Diagnosis of pneumothorax/hemothorax starting by physical examination followed by bed side ultrasound examination according to the international consensus conference recommendations (international evidence-based recommendations for point-of-care lung ultrasound) | Diagnosis 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of ultrasound in intervention | Efficacy of ultrasound in intervention used (chest tube /pigtail) was recoeded. | 10 days after intervention |
| Monitoring team performance | Monitoring team performance: team satisfaction was recorded using a 5-point Likert scale team satisfaction (1, very dissatisfied; 2, dissatisfied; 3, Okey; 4, satisfied; 5, very satisfied) in our study as an item related to team performance |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | ElGharbia | 31527 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| 24 hours after intervention |
| Duration of insertion | Duration of insertion was recorded | 30 minutes intervention |
| Incidence of complications | Incidence of complication were recorded such as infection, bleeding, visceral injury, and visceral injury. | 72 hours after intervention |
| ID | Term |
|---|---|
| D011030 | Pneumothorax |
| D006491 | Hemothorax |
| ID | Term |
|---|---|
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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