ΠΜΣ Καρδιοαναπνευστική Αναζωογόνηση
Library of the School of Health Sciences

2018-04-26

2018

Panagiotis Iliopoulos

Γεώργιος Γκιόκας, Αναπλ. Καθηγητής, Ιατρική, ΕΚΠΑ
Θεόδωρος Ξάνθος Καθηγητής, Καθηγητής, Ιατρική, ΕΚΠΑ
Νικολέτα ιακωβίδου , Αναπλ. Καθηγητής, Ιατρική, ΕΚΠΑ

Διερεύνηση της καταλληλότητας της βελόνας που χρησιμοποιούμε στη θεραπεία του πνευμοθώρακα υπό τάση σε ομάδες υψηλού ρίσκου όταν αυτός προκύψει στο πεδίο της μάχης

Greek

Investigation of the suitability of the needle used in the treatment of tension pneumothorax (TPNX) in high risk groups when it arises on the battlefield

The purpose of the research is to investigate whether Thoracic Wall Thickness (PTH) in the members of the Greek Special Operations Forces and the three General Staff (HAGS, HN, HAF) and the Special Forces of the Security Corps (HP, CG ) affects the effectiveness of pulmonary decompression by the use of a venous catheter in the process of treating pneumothorax under tension. The pneumothorax as a result of injury can result from both diatranes (sphere or knife) and blunt trauma. The research follows the example of quantitative analysis with a structured questionnaire and clinical data of relevant data. The survey involved 165 executives of the armed forces and security forces selected at random. The participants completed a structured questionnaire with 33 questions that record demographics and data on physical activity and exercise, and nutrition. Experimental measurements were performed with portable or fixed ultrasounds. The following were measured: (1) the 2nd intercostal space of the Mesokleidian Line, and (2) the 4th-5th Intersectional Space of the Anterior Axillary Line (where the four fingers of the Traumatus end). In addition to the above measurements, measurements were made with a different probe, which were made at the same anatomical points at an angle of 15 °. Data analysis was done with SPSS 18.00. For comparison of men and women, t-test was performed. There were statistically significant differences in nutrition and exercise between the two sexes. With regard to the measurements, 6% to 10.4% of men have been found to have a Thoracic Wall Thickness in the 2nd Intercostal Interval of the Mesocleil Line> 4.5 cm and 1.5% of the Men have a Thoracic Wall Thickness at the 4th-5th Intercomplex of the anterior Axillary line greater than 4.5 cm, meaning that in these cases the Orange stencil (length: 5 cm, effective length: 4.5 cm) is not able to cope with the pneumothorax of the tendon and the individuals may suffer permanent damage to the lungs or be at risk of dying. For Special Forces Forces of the Armed Forces and Special Forces of Security Bodies there is a need to differentiate the size of the needle of the venous catheter as this is considered to be important for the effectiveness of decompression in cases of pneumothorax under voltage after injury in the battlefield or in cases of extraordinary need. A 8.25 cm (3.25 in) needle suture is considered more appropriate than a 5 cm, as it can penetrate the thoracic cavity and decompress the lungs in 99% of the cases.

Health Sciences

Tension pneumothorax, Special operations forces, High risk groups, second Intercostal space midclavicular line, 4th-5th Intersection of the front axillary line

No

0

Yes

57

50

File access is restricted.

https://pergamos.lib.uoa.gr/uoa/dl/object/2750679