Tube Thoracostomy for Trauma
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Surgical Decision Making
The majority (76%) of chest injuries resulting in pneumothorax or hemothorax require only a tube thoracostomy for successful treatment .
One of the most common errors in the management of a significant hemothorax is placing a chest tube that is not large enough to adequately evacuate blood.
Chest tube sizes by patient weight 
Chest tube size
newborn to 1 year
1 to 2 years
2 to 4 years
5 to 7 years
8 to 11 years
greater than 11 years
> 30 kg
Training models have been developed and successfully implemented to teach pediatric chest tube insertion to pediatric and pediatric emergency department residents .
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Last updated: May 4, 2016
Lopushinsky, Steven R. "Tube Thoracostomy for Trauma." Pediatric Surgery NaT, American Pediatric Surgical Association, 2016. APSA Webapp, www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829227/all/Tube_Thoracostomy_for_Trauma.
Lopushinsky SR. Tube Thoracostomy for Trauma. In: Waldhausen J, Powell D, Hirschl R, eds. Pediatric Surgery NaT. American Pediatric Surgical Association; 2016. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829227/all/Tube_Thoracostomy_for_Trauma. Accessed March 20, 2019.
Lopushinsky, S. R. (2016). Tube Thoracostomy for Trauma. In Waldhausen, J., Powell, D., & Hirschl, R. (Eds.), Pediatric Surgery NaT. Available from https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829227/all/Tube_Thoracostomy_for_Trauma
Lopushinsky SR. Tube Thoracostomy for Trauma [Internet]. In: Waldhausen J, Powell D, Hirschl R, editors. Pediatric Surgery NaT. American Pediatric Surgical Association; 2016. [cited 2019 March 20]. Available from: https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829227/all/Tube_Thoracostomy_for_Trauma.
TY - ELEC
T1 - Tube Thoracostomy for Trauma
ID - 829227
A1 - Lopushinsky,Steven,MD, MSc
ED - Waldhausen,John,
ED - Powell,David,
ED - Hirschl,Ron,
Y1 - 2016/05/04/
BT - Pediatric Surgery NaT
UR - https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829227/all/Tube_Thoracostomy_for_Trauma
PB - American Pediatric Surgical Association
DB - APSA Webapp
DP - Unbound Medicine