Does Size Matter: Comparing the Utilization of Small-bore Chest Tubes to Large-bore Chest Tubes in the Management of Traumatic Hemothorax

Authors

Hillary Ann Lewia, MHS, PA-C, University of LynchburgFollow

Specialty

Trauma/Critical Care

Advisor

Dr. June Sullivan DMSc, PA-C

Abstract

Traumatic hemothorax (HTX) is a collection of blood within the thoracic pleural space following blunt or penetrating chest trauma. Providers should recognize the presentation and understand the management of a traumatic HTX to prevent significant morbidity and mortality. Historically, hemothoraces are evacuated by inserting a large-bore chest tube (LBCT) (≥28F) into the thoracic pleural space. Recent literature suggests similar outcomes and complications when utilizing small-bore chest tubes (SBCT)(<28F) for treating HTX compared to the traditional larger chest tubes. Studies also overwhelmingly demonstrate improved patient comfort with the placement of SBCT. This article discusses the presentation and diagnosis of traumatic hemothorax while also comparing various thoracostomy tube placement techniques, clinical outcomes, and complications of large and small-bore chest tubes.

Recommended Citation

Lewia, MHS, PA-C HA. Does Size Matter: Comparing the Utilization of Small-bore Chest Tubes to Large-bore Chest Tubes in the Management of Traumatic Hemothorax. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2023; 5(1).