Evidence map›Paper›PMID 38440095›Full record

ArticleTrauma surgery & acute care open2024

Percutaneous thoracostomy with thoracic lavage for traumatic hemothorax: a performance improvement initiative.

Nathaniel McLauchlan, Ali Ali, Carl A Beyer, Martha M Brinson, Sarah M Joergensen, Jay Yelon, Ryan Peter Dumas, Michael A Vella, Jeremy W Cannon

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Trauma surgery & acute care open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Nathaniel McLauchlanPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Ali AliDepartment of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Carl A BeyerDepartment of Acute Care Surgery, University of South Florida, Tampa, Florida, USA.
Martha M BrinsonDivision of Traumatology, Surgical Critical Care & Emergency Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Sarah M JoergensenPenn Acute Research Collaboration (PARC), University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jay YelonDivision of Traumatology, Surgical Critical Care & Emergency Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Ryan Peter DumasDeparment of Surgery, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-6566-1833
Michael A VellaDepartment of Surgery, University of Rochester Medical Center, Rochester, New York, USA.
Jeremy W CannonDivision of Traumatology, Surgical Critical Care & Emergency Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-2969-9316
University of Pennsylvania · USPenn Center for AIDS Research · USSouthwestern Medical CenterUniformed Services University of the Health Sciences · USUniversity of Rochester Medical Center · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Percutaneously placed small-bore (14 Fr) catheters and pleural lavage have emerged independently as innovative approaches to hemothorax management. This report describes techniques for combining percutaneous thoracostomy with pleural lavage and presents results from a performance improvement series of patients managed with percutaneous thoracostomy with immediate lavage. Methods: This was a prospective performance improvement series of patients treated at a level 1 trauma center with percutaneous thoracostomy and immediate lavage between April 2021 and May 2023. Results: Percutaneous thoracostomy with immediate lavage was used to treat nine hemodynamically normal patients with acute hemothorax. Injuries included both blunt and penetrating mechanisms. 56% of patients presented immediately after injury, and 44% presented in a delayed fashion ranging from 2 to 26 days after injury. Median length of stay was 6 days (IQR 6, 9). Seven patients were discharged home in stable condition, one was discharged to an acute rehabilitation facility, and one was discharged to a skilled nursing facility. Conclusions: Percutaneous thoracostomy with pleural lavage is clinically feasible and effective and warrants further evaluation with a multicenter clinical trial. Level of evidence: Therapeutic/care management, level V.

Indexed as

CathetersHemothoraxquality improvement

Identifiers

PMID38440095
PMCPMC10910477
OpenAlexW4392391434

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.