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Use of the iTClamp versus standard suturing techniques for securing chest tubes: A randomized controlled cadaver
Jessica Mckee1,2, Ian Mckee3, Melanie Bouclin4
1Regional Trauma Services, University of Calgary, Calgary, AB, Canada.
Turkish Journal of Emergency Medicine
|June 27, 2018
Summary
The iTClamp effectively secures tube thoracostomy (TT) devices, offering a faster application time than traditional suturing. This method requires minimal skill, ensuring TT stability during transport.
Area of Science:
- Trauma surgery
- Medical device innovation
- Emergency medicine
Background:
- Tube thoracostomy (TT) is a critical trauma procedure.
- Securing TTs with sutures requires practice and risks dislodgement during transport.
Purpose of the Study:
- To evaluate the iTClamp as a simpler and equally effective alternative for securing TTs.
- To compare the effectiveness and application time of iTClamp versus traditional suturing.
Main Methods:
- A cadaver model was used to compare iTClamp and suture techniques for securing TTs (28-40Fr).
- Functional tests assessed positive/negative pressure and removal force (up to 5 lbs).
- Application time for each securing method was recorded.
Main Results:
- Both iTClamp and sutures provided equivalent functional pressure holding.
- Mean removal force exceeded the 5 lb threshold for both methods, with no significant difference.
- iTClamp application was significantly faster (37s) than suturing (96s).
Conclusions:
- The iTClamp is an effective device for securing TTs.
- Its primary advantage is the minimal skill required for adequate fixation.
- This ensures TT stability during transport to trauma centers.
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