即兴的胸管排水:在人道主义危机中对胸部紧急情况的实用方法
Alsadig Suliman1, Rawan Mohamedosman2, Bushra Suliman3
1Department of General Surgery, Sudan Medical Specialization Board, Khartoum, Khartoum, Sudan.
Surgery in practice and science
|June 26, 2025
概括
使用易于获得的材料即兴的胸管排水系统 (CTD) 证明在资源有限的冲突地区治疗胸部损伤是安全有效的. 这种可适应的解决方案在紧急情况下为传统系统提供了可行的替代方案.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 全球健康 全球健康
背景情况:
- 由于医疗保健基础设施有限和供应短缺,胸部受伤在冲突地区存在重大挑战.
- 传统的胸管排水系统 (CTD) 在资源有限的环境中往往无法使用.
- 本研究解决了对胸部紧急情况的替代管理策略的需求.
研究的目的:
- 评估即兴CTD系统的安全性和有效性.
- 评估其在资源有限的环境中作为替代方案的可行性.
- 为在人道主义危机中管理胸部紧急情况提供一个可扩展的模型.
主要方法:
- 一项前性单中心分析队列研究涉及120名患有胸部损伤的成年患者.
- 一个即兴的CTD系统使用鼻胃管和重新使用的塑料水瓶作为水下密封.
- 评估了临床结果,并发症,患者满意度和连续成像.
主要成果:
- 90%的患者在72小时内实现了肺部再扩张.
- 这些并发症包括乳 (15%),皮下肺 (20%) 和肺 (12%).
- 患者满意度很高 (85%),平均住院时间为6.5天,死亡率为5%.
结论:
- 临时CTD系统是冲突环境中胸部紧急情况的安全,有效和经济高效的替代方案.
- 它的适应性解决了紧急护理中的关键缺口.
- 这种方法为全球人道主义危机提供了一个可扩展的模型.
相关概念视频
Endoscopic Studies II: Thoracocentesis
539
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
539
Pneumothorax-II
388
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
388
Cardiopulmonary Resuscitation II: ACLS Airway Management
119
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
119
Flail Chest-II
242
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
242
Tracheostomy Suctioning II: Procedure
603
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
603
Tracheostomy Suctioning I: Pre-Procedural Steps
1.1K
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
1.1K


