Template:Chest tube size table: Difference between revisions

Revision as of 16:42, 9 November 2019

Chest Tube Size	Type of Patient	Underlying Causes
Small (8-14 Fr)	Most spontaneous pneumothorax (primary and secondary) Most iatrogenic pneumothorax	Alveolar-pleural fistulae (small air leak) Iatrogenic air
Medium (20-28 Fr)	Pneumothorax on mechanical ventilation Non-traumatic tension pneumothorax Malignant effusion	Bronchial-pleural fistulae (large air leak) Malignant fluid
Large (36-40 Fr)	Traumatic pneumothorax 2012 study using 28-32 Fr tube just as good as 36-40 Fr tube. ^[1] This is reflected in the ATLS 2019 Guidelines: "ATLS ® -10 now recommends placement of a smaller 28F to 32F chest tube for any acute hemothorax that is visible on chest radiograph." ^[2] Empyema	Bleeding (Hemothorax/hemopneumothorax) Thick pus

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 | Large (36-40 Fr)||
 *[[Traumatic pneumothorax]]
+**2012 study using  28-32 Fr tube just as good as 36-40 Fr tube. <ref>Inaba Et. al J [https://www.ncbi.nlm.nih.gov/pubmed/22327984 Trauma Acute Care Surg. 2012 Feb;72(2):422-7.]</ref> This is reflected in the ATLS 2019 Guidelines: "ATLS ® -10 now recommends placement of a smaller 28F to 32F chest tube for any acute hemothorax that is visible on chest radiograph." <ref>[https://www.ncbi.nlm.nih.gov/pubmed/30711226 Advanced Trauma Life Support® Update 2019: Management and Applications for Adults and Special Populations.]</ref>
 *[[Empyema]]
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