Minor Procedures in Trauma - 22/11/22

Doi : 10.1016/j.emc.2022.09.008

Jesse Shriki, DO, MS ^a,^⁎ , Sagar B. Dave, DO ^b,^c
^a Department of Critical Care, Banner-University Medical Center, 1111 East McDowell Road, Phoenix, AZ 85006, USA
^b Department of Emergency Medicine, Emory University School of Medicine, Grady Memorial Hospital, 1750 Gambrell Drive Northeast, Hospital Tower, Suite T5L41, Atlanta, GA 30322, USA
^c Department of Anesthesiology, Emory University School of Medicine, Grady Memorial Hospital, Emory University Department of Anesthesiology, 1750 Gambrell Drive Northeast, Hospital Tower, Suite T5L41, Atlanta, GA 30322, USA

^∗Corresponding author.

Résumé

Procedures such as central access and tube thoracostomy are integral in the care of the injured patient. However, both increasing life span and patient complexity of comorbidities can hinder procedural success. Careful forethought should be completed before, simply, charging ahead with a procedure. This article covers the details needed to be successful in carrying out these 2 procedural “staples” in trauma. From anatomy to pain control to postprocedural management, this article will be the building block for technical success. Understanding what you are doing and careful planning ahead are now more than ever crucial to patient care.

Le texte complet de cet article est disponible en PDF.

Keywords : Trauma, Central venous access, Thoracostomy, Hemothorax, Pneumothorax, Regional anesthesia