{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:26:37Z","timestamp":1747182397986,"version":"3.40.5"},"reference-count":7,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The present study aimed to determine the difference in force required to puncture simulated pleura comparing Kelly clamps to fine artery forceps. The treatment of symptomatic traumatic pneumothorax and haemothorax involves puncture of the parietal pleura to allow decompression. This is usually performed using Kelly clamps or fine artery forceps. Over\u2010puncture pulmonary injury risk increases with the force used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An experienced single operator performed puncturing of simulated parietal pleura on a thoracic mannequin while wearing a force sensor under gloves. The force imparted at the device tip onto the parietal pleura was estimated by subtracting the force required to hold the device from the total force. Outcome variables were the total maximum force and force imparted by the device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 11 simulated procedures completed, seven using Kelly clamps and four using fine artery forceps. After subtracting the force required to hold the chosen forceps, the median value of pleural puncture force using Kelly clamps was 52.91\u2009N (IQR 36.68\u201363.56) and 10.70\u2009N (IQR 7.64\u201326.56) using fine artery forceps (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.006).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A significantly increased force was required to puncture simulated parietal pleura using Kelly clamps compared to fine artery forceps. This higher puncture force will be associated with increased instrument acceleration at the time of pleural puncture, which may result in an increased risk of injury to the underlying lung. Based on these data, clinicians may reduce the risk of pulmonary injury by using fine artery forceps rather than Kelly clamps when performing pleural decompression.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.14019","type":"journal-article","created":{"date-parts":[[2022,5,27]],"date-time":"2022-05-27T02:43:20Z","timestamp":1653619400000},"page":"954-958","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pleural decompression procedural safety for traumatic pneumothorax and haemothorax: Kelly clamps <i>versus<\/i> fine artery forceps"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0183-7761","authenticated-orcid":false,"given":"Mark","family":"Fitzgerald","sequence":"first","affiliation":[{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Trauma Service Alfred Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Allen","sequence":"additional","affiliation":[{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shifeng","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0508-2450","authenticated-orcid":false,"given":"Biswadev","family":"Mitra","sequence":"additional","affiliation":[{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Emergency and Trauma Centre Alfred Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wing","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dries","family":"Helsloot","sequence":"additional","affiliation":[{"name":"Emergency Medicine AZ Groeninge  Kortrijk Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Groombridge","sequence":"additional","affiliation":[{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Trauma Service Alfred Health  Melbourne Victoria Australia"},{"name":"Emergency and Trauma Centre Alfred Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Mathew","sequence":"additional","affiliation":[{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Trauma Service Alfred Health  Melbourne Victoria Australia"},{"name":"Emergency and Trauma Centre Alfred Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yesul","family":"Kim","sequence":"additional","affiliation":[{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,26]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"BeggNDM.Increasing the safety and precision of medical tissue puncture.2014. [Cited 5 Jun 2021.] Available from URL:https:\/\/dspace.mit.edu\/handle\/1721.1\/92154"},{"key":"e_1_2_9_3_1","unstructured":"EBM Consult LLC. Chest tube replacement (tube thoracostomy)2015. [Cited 5 Jun 2021.] Available from URL:https:\/\/www.ebmconsult.com\/app\/article\/file\/100514"},{"volume-title":"Critical Care","year":"2017","author":"Eisen L","key":"e_1_2_9_4_1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13549"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.134182"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13135"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.04.008"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.14019","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.14019","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.14019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T21:32:36Z","timestamp":1692653556000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.14019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,26]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1111\/1742-6723.14019"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.14019","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"type":"print","value":"1742-6731"},{"type":"electronic","value":"1742-6723"}],"subject":[],"published":{"date-parts":[[2022,5,26]]},"assertion":[{"value":"2021-06-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}