{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:21:14Z","timestamp":1772662874126,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,5,9]],"date-time":"2012-05-09T00:00:00Z","timestamp":1336521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Introduction:\u2002<\/jats:bold> Intercostal catheters (ICC) are the standard management of chest trauma, but are associated with complications in up to 30%. The aim of this study was to evaluate errors in technique during ICC insertion to characterize the potential benefit of improved training programmes.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Prospective audit of all ICC in trauma patients at a level 1 trauma centre for over 12 months. Exclusions were pigtail catheters and ICC inserted during thoracic surgery. Errors were identified from patient examination and chest imaging; they were defined as insertional, positional, incorrect size (&lt;28 French) and lack of antibiotic prophylaxis. Ongoing complications unrelated to an error in technique, for example blocked tube, were not analysed.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Fifty\u2010seven patients received a total of 94 ICC during the study period. Patients were predominantly male (77%), mean age of 40 \u00b1 20 years, mean injury severity score 27 \u00b1 13, mean abbreviated injury scale chest 3.8 \u00b1 0.72. 86% were blunt trauma and 14% penetrating chest injuries. Thirty\u2010six errors in technique occurred in 33 ICC insertions (38%). The most common errors were absence of prophylactic antibiotics (13%), ICC too far out (9%), kinked (6%) and wrong\u2010sized ICC (5%). Emergency had a significantly greater frequency of errors than other specialties (67%, relative risk 2.11, <jats:italic>P<\/jats:italic>= 0.002). The majority of ICC were inserted by registrars, and registrars made a greater number of errors than fellows or consultants (relative risk 2.00, <jats:italic>P<\/jats:italic>= 0.02).<\/jats:p><jats:p><jats:bold>Discussion:\u2002<\/jats:bold> This study identified a large number of preventable errors for ICC insertion in trauma patients. Standardized institutional credentialing systems may be required to ensure adequate proficiency of trainees performing this procedure.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2012.06093.x","type":"journal-article","created":{"date-parts":[[2012,5,10]],"date-time":"2012-05-10T02:09:40Z","timestamp":1336615780000},"page":"392-394","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Intercostal catheter insertion: are we really doing well?"],"prefix":"10.1111","volume":"82","author":[{"given":"Rashid","family":"Alrahbi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Easton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cino","family":"Bendinelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Enninghorst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krisztian","family":"Sisak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt J.","family":"Balogh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,5,9]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-1433.2004.03023.x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1995.01430050071012"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1308\/003588408X242286"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(97)90127-3"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00478-5"},{"key":"e_1_2_5_7_2","first-page":"114","article-title":"Complications of tube thoracostomy for chest trauma","volume":"99","author":"Maritz D","year":"2009","journal-title":"S. Afr. Med. J."},{"key":"e_1_2_5_8_2","first-page":"450","article-title":"Chest tube complications: how well are we training our residents?","volume":"50","author":"Ball CG","year":"2007","journal-title":"Can. J. Surg."},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198910000-00013"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/emj.17.2.111"},{"key":"e_1_2_5_11_2","unstructured":"National Patient Safety Agency. Rapid Response Report: Risks of Chest Drain Insertion. Reference NPSA\/2008\/RRR003 National Patient Safety Agency.2008."},{"key":"e_1_2_5_12_2","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1136\/thx.58.suppl_2.ii53","article-title":"BTS guidelines for the insertion of a chest drain","volume":"58","author":"Laws D","year":"2003","journal-title":"Thorax"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1445-2197.2012.06093.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1445-2197.2012.06093.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T18:16:14Z","timestamp":1697480174000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1445-2197.2012.06093.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,9]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1111\/j.1445-2197.2012.06093.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1445-2197.2012.06093.x","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,9]]},"assertion":[{"value":"2012-05-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}