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  • Title: Thoracic Trauma: Which Chest Tube When and Where?
    Author: Molnar TF.
    Journal: Thorac Surg Clin; 2017 Feb; 27(1):13-23. PubMed ID: 27865322.
    Abstract:
    Clinical suspicion of hemo/pneumothorax: when in doubt, drain the chest. Stable chest trauma with hemo/pneumothorax: drain and wait. Unstable patient with dislocated trachea must be approached with drain in hand and scalpel ready. Massive hemo/pneumothorax may be controlled by drainage alone. The surgeon should not hesitate to open the chest if too much blood drains over a short period. The chest drainage procedure does not end with the last stitch; the second half of the match is still ahead. The drained patient is in need of physiotherapy and proper pain relief with an extended pleural space: control the suction system.
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