Determination of the Optimal Landmark for Tube Thoracostomy in Trauma Patients: A Retrospective Study.

ABSTRACT: Background/Objectives: Accurate and prompt tube thoracostomy (TT) placement within the safety zone while avoiding diaphragmatic injury remains challenging, particularly in trauma patients with distorted thoracic anatomy. This study evaluated the accuracy and safety of landmark-based TT techniques, including a novel mid-sternum method. Methods: In this retrospective study, chest computed tomography scans of 245 adult trauma patients who presented to a Level I trauma center in Korea between February and June 2022 were analyzed. TT insertion routes using the mid-sternum, nipple, and mid-arm point methods were compared against the conventional fifth intercostal space (ICS) method. Results: Of the 245 enrolled patients, the median age was 55.0 years (interquartile range, 42

SUBMITTER: Lee M 

PROVIDER: S-EPMC12610840 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature