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Kesieme EB, Olusoji O, Inuwa IM, et al. Management of Chest Drains: A National Survey on Surgeons-in-training Experience and Practice. Niger J Surg. 2015;21(2):91-5doi: 10.4103/1117-6806.162569.
Kesieme, E. B., Olusoji, O., Inuwa, I. M., Ngene, C. I., & Aigbe, E. (2015). Management of Chest Drains: A National Survey on Surgeons-in-training Experience and Practice. Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society, 21(2), 91-5. https://doi.org/10.4103/1117-6806.162569
Kesieme, Emeka B, et al. "Management of Chest Drains: A National Survey on Surgeons-in-training Experience and Practice." Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society vol. 21,2 (2015): 91-5. doi: https://doi.org/10.4103/1117-6806.162569
Kesieme EB, Olusoji O, Inuwa IM, Ngene CI, Aigbe E. Management of Chest Drains: A National Survey on Surgeons-in-training Experience and Practice. Niger J Surg. 2015 Jul-Dec;21(2):91-5. doi: 10.4103/1117-6806.162569. PMID: 26425059; PMCID: PMC4566328.
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Niger J Surg. 2015 Jul-Dec;21(2):91-5. doi: 10.4103/1117-6806.162569.

Management of Chest Drains: A National Survey on Surgeons-in-training Experience and Practice.

Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society

Emeka B Kesieme, Olugbenga Olusoji, Ismail Mohammed Inuwa, Chukwuma Innocent Ngene, Eghosa Aigbe

Affiliations

  1. Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
  2. Department of Surgery, Lagos University Teaching Hospital, Lagos, Lagos State, Nigeria.
  3. Department of Surgery, Aminu Kano University Teaching Hospital, Kano, Kano State, Nigeria.
  4. Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.

PMID: 26425059 PMCID: PMC4566328 DOI: 10.4103/1117-6806.162569

Abstract

BACKGROUND: Chest tube insertion is a simple and sometimes life-saving procedure performed mainly by surgical residents. However with inadequate knowledge and poor expertise, complications may be life threatening.

OBJECTIVE: We aimed to determine the level of experience and expertise of resident surgeons in performing tube thoracostomy.

METHODOLOGY: Four tertiary institutions were selected by simple random sampling. A structured questionnaire was administered to 90 residents after obtaining consent.

RESULTS: The majority of respondents were between 31 and 35 years. About 10% of respondents have not observed or performed tube thoracostomy while 77.8% of respondents performed tube thoracostomy for the first time during residency training. The mean score was 6.2 ± 2.2 and 59.3% of respondents exhibited good experience and practice. Rotation through cardiothoracic surgery had an effect on the score (P = 0.034). About 80.2% always obtained consent while 50.6% always used the blunt technique of insertion. About 61.7% of respondents routinely inserted a chest drain in the Triangle of safety. Only 27.2% of respondents utilized different sizes of chest tubes for different pathologies. Most respondents removed chest drains when the output is <50 mL. Twenty-six respondents (32.1%) always monitored air leak before removal of tubes in cases of pneumothorax. Superficial surgical site infection, tube dislodgement, and tube blockage were the most common complications.

CONCLUSION: Many of the surgical resident lack adequate expertise in this lifesaving procedure and they lose the opportunity to learn it as interns. There is a need to stress the need to acquire this skill early, to further educate and evaluate them to avoid complications.

Keywords: Chest drains; experience; practice; surgical residents

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