Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/161363
Title: Do It Better: Cross Mattress for Chest Drain Insertion Site Security Offers Quality Outcome in Chest Trauma Patients Required Tube Thoracostomy.
Authors: Sazzad, MF 
Uddin, MA
Imran, MA
Ansary, AM
Musa, SA
Saha, H
Rahman, MM
Hoque, MR
Islam, MN
Sarkar, S
Tanchangya, G
Pal, AK
Alam, I
Ershad, MS
Kamruzzaman, M
Sultana, S
Keywords: Bangladesh
Chest Tubes
Hemothorax
Humans
Male
Pneumothorax
Prospective Studies
Suction
Thoracic Injuries
Thoracostomy
Young Adult
Issue Date: Jan-2019
Publisher: Mymensingh Medical College
Citation: Sazzad, MF, Uddin, MA, Imran, MA, Ansary, AM, Musa, SA, Saha, H, Rahman, MM, Hoque, MR, Islam, MN, Sarkar, S, Tanchangya, G, Pal, AK, Alam, I, Ershad, MS, Kamruzzaman, M, Sultana, S (2019-01). Do It Better: Cross Mattress for Chest Drain Insertion Site Security Offers Quality Outcome in Chest Trauma Patients Required Tube Thoracostomy.. Mymensingh Medical Journal 28 (1) : 200-205. ScholarBank@NUS Repository.
Abstract: We examined the hypothesis that the cross mattress for chest drain insertion site security is better than that of polypropylene horizontal mattress in chest trauma patient required tube thoracostomy at the Department of Casualty Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2016 to June 2016. Accordingly we prospectively studied 50 consecutive patients who needed chest tube insertion. In 25 consecutive cases chest drain insertion site was secured with polypropylene horizontal mattress technique (Control- Group A) and another 25 consecutive patients had a cross-mattress with non-absorbable suture materials (Experimental- Group B). All chest tubes were inserted into the triangle of safety to following the BTS guideline. A baseline x-ray chest was compared with post-procedure chest x-ray. Male preponderance and young adults were comprised in both the groups; mean age in Group A and Group B was 38.7±15.5 and 37.3±14.1 respectively. Haemo-pneumothorax was the most common cause of tube thoracostomy among the trauma victims. This study shows that, polypropylene horizontal mattress results in increased chest tube site infection 52% in Control Group vs. 12% in Experimental Group (p=0.002). Although there was similar incidence of blood loss between the groups, the length of Hospital stay was significantly higher in Control Group. We conclude that cross mattress for chest drain insertion site security showed a better clinical outcome, less wound complications and less hospitalization.
Source Title: Mymensingh Medical Journal
URI: https://scholarbank.nus.edu.sg/handle/10635/161363
ISSN: 10224742
24088757
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