Thoracotomy (peds)

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Indications

  • Chest tube output
    • >10-15mL/kg evacuated
    • >2-4mL/kg/hr continuous
  • Continuous air leak

Contraindications

  • No absolute contraindications to ED thoracotomy (emergent procedure)
  • Relative Contraindications
    • Blunt injury without witness cardiac activity
    • Penetrating abdominal trauma without cardiac activity
    • Non-traumatic cardiac arrest
    • Severe head injury
    • Severe multi-system injury
    • Improper Setting
      • Understaffed ER/Improperly trained staff/Insufficient equipment

Equipment Needed

Procedure

Complications

See Also

External Links

References