{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T21:19:59Z","timestamp":1715635199426},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,10,10]],"date-time":"2018-10-10T00:00:00Z","timestamp":1539129600000},"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":["Veterinary Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe and compare fluoroscopic guidance for placement of wide\u2010bore thoracostomy tubes (FGTT) to traditional, blind placement of thoracostomy tubes (BPTT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Prospective clinical trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Twenty client\u2010owned dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Dogs requiring medical management of pleural effusion received a BPTT, whereas dogs undergoing postoperative management of pneumothorax and\/or pleural fluid after lateral thoracotomy received an FGTT. Time of placement, accuracy of positioning, radiation exposure, and complications were compared between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Initial placement of BPTT took a mean of 168 seconds (range, 89\u2010197), whereas adequate placement was radiographically confirmed at 20 minutes and 38 seconds (range, 7 minutes and 57 seconds to 39 min). Initial placement of FGTT took a mean time of 108 seconds (range, 50\u2010341, <jats:italic>P<\/jats:italic>\u2009=\u2009.17), and adequate placement was confirmed at 125 seconds (range, 50\u2010341, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Major errors in placement requiring removal and replacement occurred in 2 dogs for BPTT and in none for FGTT. Procedural complications did not differ between groups, and no postoperative complication occurred within the first 12 hours after placement. Radiation entrance surface dose was lower in the BPTT group (<jats:italic>P<\/jats:italic>\u2009=\u2009.004), but stochastic radiation doses did not differ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Fluoroscopic guidance of wide\u2010bore thoracostomy tubes accelerated the time to accurate tube placement and alleviated the requirement for removal and replacement in this population. Although use of fluoroscopy increased radiation entrance surface dose, the dose was not clinically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Fluoroscopic guidance of wide\u2010bore thoracostomy tubes should be considered as an alternative to traditional, blind placement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13106","type":"journal-article","created":{"date-parts":[[2018,10,10]],"date-time":"2018-10-10T07:12:54Z","timestamp":1539155574000},"page":"1046-1051","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fluoroscopically guided wide\u2010bore thoracostomy tube placement: Description of the technique and comparison to blind placement"],"prefix":"10.1111","volume":"47","author":[{"given":"David A.","family":"Barker","sequence":"first","affiliation":[{"name":"Dick White Referrals, Six Mile Bottom  Newmarket United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonje","family":"Trinterud","sequence":"additional","affiliation":[{"name":"Dick White Referrals, Six Mile Bottom  Newmarket United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie L.","family":"Demetriou","sequence":"additional","affiliation":[{"name":"Dick White Referrals, Six Mile Bottom  Newmarket United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,10]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Small Animal Thoracic Surgery","author":"Orton EC","year":"1995"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.141.2.253"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10101157"},{"key":"e_1_2_7_5_1","volume-title":"Radiation Protection in Medical Radiography","author":"Sherer MA","year":"2011"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.16.5.8888398"},{"key":"e_1_2_7_7_1","first-page":"350e23","article-title":"Images in clinical medicine: radiation injury from a fluoroscopic procedure","author":"Wong L","year":"2004","journal-title":"N Eng J Med"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0260"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/12568539"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(97)90127-3"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1995.01430050071012"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.134182"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2007.00417.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2008.00694.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2006.00080.x"},{"key":"e_1_2_7_16_1","first-page":"1331","article-title":"Thoracostomy tubes. 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