{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:08:17Z","timestamp":1774951697040,"version":"3.50.1"},"reference-count":60,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Anlage einer Thoraxdrainage ist zwar grunds\u00e4tzlich eine einfache, aber oft lebensrettende Notfallma\u00dfnahme. Trotz der H\u00e4ufigkeit der Prozedur zeigen sich jedoch Unsicherheiten im Umgang\n          mit daraus resultierend hoher Komplikationsrate. F\u00fcr alle Beteiligten stellt sowohl die Diagnostik, die Indikationsstellung und die Anlage selbst, wie auch das nachfolgende Management der\n          Drainage eine wiederkehrende Herausforderung dar. Die Unter-AG Lungenverletzung der interdisziplin\u00e4ren AG (Arbeitsgemeinschaft) Thoraxtrauma der Deutschen Gesellschaft f\u00fcr Thoraxchirurgie\n          (DGT) und Deutschen Gesellschaft f\u00fcr Unfallchirurgie (DGU) erarbeitete konsensuelle Behandlungsempfehlungen basierend auf einer Systematic-Review-like Literaturrecherche (MEDLINE via PubMed\n          von 1997 bis 2022). Mit der aktuell vorliegenden Recherche konnten 60 repr\u00e4sentative Arbeiten identifiziert werden, die Empfehlungen zulassen, jedoch meist nur einen niedrigen Evidenzgrad\n          aufweisen. Die Empfehlungen sind nicht mit Evidenzgraden hinterlegt, sondern haben zun\u00e4chst Konsenscharakter.<\/jats:p><jats:p>F\u00fcr den instabilen Patienten mit Thoraxtrauma stellt die Thoraxdrainage das Mittel der Wahl zur Entlastung eines Pneumothorax oder H\u00e4matothorax dar. Beim Spannungspneumothorax sollte eine\n          initiale Entlastungspunktion mit einer mindestens 5\u00a0cm langen Kan\u00fcle, gefolgt von der Anlage einer Thoraxdrainage erfolgen. Diagnostik und Beurteilung des Patienten sollten prim\u00e4r und im\n          Verlauf durch die klinische Untersuchung, eine R\u00f6ntgenuntersuchung des Thorax sowie eine Thoraxsonografie erfolgen, Goldstandard der Diagnostik ist jedoch die Computertomografie (CT). Beim\n          kreislaufstabilen Patienten soll eine kleinlumige Drainage (z.\u00a0B. 14 Charri\u00e8re [Charr]) verwendet werden, instabile Patienten sollten eine gro\u00dflumige Drainage erhalten. Thoraxdrainagen\n          besitzen eine hohe Komplikationsrate zwischen 5% und 25%. H\u00e4ufig sind insbesondere Fehlpositionierungen im Rahmen der Anlage. Eine Fehllage kann jedoch meist nur im CT sicher erkannt oder\n          ausgeschlossen werden. Eine Therapie sollte mit mildem Sog erfolgen, ein Abklemmen vor Entfernung ist nicht zielf\u00fchrend. Der Drainagenzug kann sowohl am Ende der Inspiration oder Exspiration\n          sicher erfolgen. Zur Verringerung der hohen Komplikationsrate sollte vermehrt der Fokus auf die Ausbildung und das Training der Anwender gelegt werden.<\/jats:p>","DOI":"10.1055\/a-1975-0243","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:22:06Z","timestamp":1677543726000},"page":"57-66","source":"Crossref","is-referenced-by-count":7,"title":["Thoraxdrainage beim Thoraxtrauma \u2013 Empfehlungen der interdisziplin\u00e4ren Arbeitsgemeinschaft Thoraxtrauma der Deutschen Gesellschaft f\u00fcr Thoraxchirurgie (DGT) und der Deutschen\n          Gesellschaft f\u00fcr Unfallchirurgie (DGU)"],"prefix":"10.1055","volume":"148","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7876-2580","authenticated-orcid":false,"given":"Lars","family":"Becker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie, Universit\u00e4tsklinikum Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Schulz-Drost","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie und Traumatologie, HELIOS Kliniken Schwerin, Schwerin, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christof","family":"Schreyer","sequence":"additional","affiliation":[{"name":"Allgemein-\/Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus, Koblenz, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Lindner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie und thorakale Endoskopie, HELIOS Klinikum Erfurt, Erfurt, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1743","DOI":"10.1016\/j.injury.2015.04.032","article-title":"To drain or not to drain? 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