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Large-bore thoracostomy tube placement in small animals
Journal of the American Veterinary Medical Association
|June 26, 2026
Summary
This tutorial details large-bore thoracostomy tube placement in small animals, crucial for treating pleural effusions and pneumothorax. Proper technique minimizes complications like lung injury and rib fractures in veterinary emergency care.
Area of Science:
- Veterinary Surgery
- Small Animal Emergency Medicine
Background:
- Thoracostomy tube placement is essential for managing pleural space diseases in small animals.
- Complications can arise from improper technique, impacting patient ventilation.
Purpose of the Study:
- To provide a detailed technical tutorial on large-bore thoracostomy tube placement in small animals.
- To demonstrate the procedure using a veterinary simulation model for skill acquisition.
Main Methods:
- Step-by-step demonstration of large-bore thoracostomy tube placement.
- Includes subcutaneous tunnel creation, controlled pleural entry, drain advancement, and tube fixation.
- Utilizes blunt dissection and trocar-guided forceps for safety.
Main Results:
- A clear, step-by-step guide to thoracostomy tube placement is presented.
- Facilitates practice of critical procedural skills for accurate execution.
- Aims to minimize potential complications during the procedure.
Conclusions:
- Thoracostomy tube placement is a vital skill for small animal emergency and critical care veterinarians.
- Correct technique reduces risks of iatrogenic injury and ventilation compromise.
- Simulation models support safe hands-on training for this procedure.
