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Tube thoracostomy during the COVID-19 pandemic: guidance and recommendations from the AAST Acute Care Surgery and Critical Care Committees
  1. Fredric M Pieracci1,
  2. Clay Cothren Burlew1,
  3. David Spain2,
  4. David H Livingston3,
  5. Eileen M Bulger4,
  6. Kimberly A Davis5,
  7. Christopher Michetti6
  1. 1 Department of Surgery, Denver Health, Denver, Colorado, USA
  2. 2 Department of Surgery, Stanford University, Stanford, California, USA
  3. 3 Department of Surgery, Rutgers, New Brunswick, New Jersey, USA
  4. 4 Department of Surgery, University of Washington, Seattle, Washington, USA
  5. 5 Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA
  6. 6 Department of Surgery, Inova Fairfax Medical Center, Falls Church, Virginia, USA
  1. Correspondence to Dr Fredric M Pieracci, Surgery, Univ Colorado, Denver, CO 80204, USA; fredric.pieracci{at}


This document provides guidance for trauma and acute care surgeons surrounding the placement, management and removal of chest tubes during the COVID-19 pandemic.

  • guideline
  • pneumothorax
  • hemopneumothorax
  • Hemothorax

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  • Contributors FP and CCB contributed to manuscript drafting and literature review. All other authors contributed to critical revisions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Data availability statement No data are available.

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