Complicaciones del avenamiento pleural en el trauma de tórax en el Hospital Vicente Corral Moscoso. Cuenca. 2014

Abstract

General Objective: Establish the complications of pleural drainage because of trauma in the Trauma and Emergency room and also in General Surgery service of the Vicente Corral Moscoso Hospital, Cuenca 2014. Method: Descriptive, retrospective study in 80 patients with trauma undergoing pleural drainage in the Trauma and Emergency room and in General Surgery service of Vicente Corral Moscoso Hospital. Information collected included: demographic data, vital signs while admitted and after tube placement at 12 and 24 hours, and identification of complications. The data was tabulated in the version 15 of SPSS and are presented in simple tables. Results: The prevalence of complications was on 25%, being the conversion to thoracotomy (for clotted hemothorax) the most common with 45%; subcutaneous emphysema with 30% and accidental removal of the tube 25%; The most common admission diagnosis was hemothorax with 45% and 68.8% of all the cases was closed chest trauma, the average hospital stay was 8.4 days; vital signs showed a high frequency of abnormalities in all of them before tube placement, then after tube placement they improved substantially in 24 hours. Conclusions: One in four patients who underwent pleural drainage presented complications. Accidental chest tube removal and emphysema are preventable while conversion to thoracotomy apparently depends on other factors