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Can you treat a traumatic hemothorax with a 14FR

Video Published 2022-08-03 Updated 2026-06-23

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Topic Overview

Comparative study of 119 pediatric trauma patients shows 14 French percutaneous catheters achieve similar efficacy to 32 French tube thoracostomy for traumatic hemothorax treatment, with significantly better patient tolerance. Failure rates, length of stay, and drainage outcomes were equivalent between both approaches.

Key Takeaways

  • 14 French percutaneous catheters had similar failure rates to 32 French chest tubes for traumatic hemothorax (study n=119)
  • Length of stay, drainage output, and tube days were equivalent between 14FR percutaneous catheters and traditional chest tubes
  • Percutaneous catheters were significantly better tolerated by patients than standard chest tubes
  • Smaller bore percutaneous drainage may be a viable first-line option for traumatic hemothorax management

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