MARC details
| 000 -LEADER |
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| fixed length control field |
03010nam a22003617a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
200826s20192019 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2163-0755 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1097/TA.0000000000002244 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
30830054 |
| 245 ## - TITLE STATEMENT |
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| Title |
ThoraSite: A device to improve accuracy of lateral decompression needle and chest tube placement. |
| 251 ## - Source |
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| Source |
The Journal of Trauma and Acute Care Surgery. 2019 Mar 01 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Trauma Acute Care Surg. 2019 Mar 01 |
| 253 ## - Journal Name |
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| Journal name |
The journal of trauma and acute care surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2019 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2019 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-08-26 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Multiple reports have detailed an unacceptably high error rate in the siting of decompression needles and tubes and describe associated iatrogenic injuries. The objective of the current study was to measure the accuracy of the novel ThoraSite template for identifying an acceptable intercostal space (ICS) for lateral needle or tube thoracostomy. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: ThoraSite use was associated with needle placement in the 3, 4, or 5 ICS in an area roughly spanning the AAL to MAL in anatomically diverse cadavers. By facilitating appropriate needle/tube placement, ThoraSite use may decrease iatrogenic injuries. Future study involving representative users may be useful to further evaluate ThoraSite accuracy. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
LEVEL OF EVIDENCE: Level IV STUDY TYPE: Therapeutic and care management. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: Two trained operators used the ThoraSite to place radiopaque needles in the left and right lateral chests of 12 cadavers. An independent radiologist reviewed fluoroscopy images to determine the primary outcome: the ICS in which each needle was placed. Secondary outcomes were ICS's palpable through ThoraSite's Safe Zone; needle placement relative to the anterior (AAL) and mid-axillary (MAL) lines; and percent correct placement (defined as the 3, 4, or 5 ICS from 1cm anterior to the AAL to 1cm posterior to the MAL). |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: The 6 female and 6 male cadavers spanned 4'11" (150cm) to 6'7" (201cm), 80lb (36kg) to 350lb (159kg), and 16 kg/m to 42 kg/m BMI. All 24 needles were placed in either the 3 (4/24 needles, 17%); 4 (10/24 needles, 42%); or 5 ICS (10/24 needles, 42%). In 10/24 assessments (42%), two ICS's were palpable in ThoraSite's Safe Zone. All palpable ICS's were either the 3 (8/34, 24%); 4 (15/34, 44%); or 5 ICS (11/34, 32%). 23/24 needles (96%) were inserted from 1cm anterior to the AAL to 1cm posterior to the MAL. 23/24 needle placements (96%) were correct. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Medical Group |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Emergency Medicine |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Shah, Amit Navin |
| 790 ## - Authors |
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| All authors |
Dheer S, Kothera CS, Shah AN |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1097/TA.0000000000002244">https://dx.doi.org/10.1097/TA.0000000000002244</a> |
| Public note |
https://dx.doi.org/10.1097/TA.0000000000002244 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
