CT-guided Percutaneous Pigtail Catheter Drainage and Normal Saline Irrigation for Treatment of Loculated Empyema

2008 ◽  
Vol 15 (4) ◽  
pp. 292-294
Author(s):  
Chukwuma Ogugua ◽  
Yashwant Patel ◽  
Richard Duncalf
2008 ◽  
Vol 1 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Ming-Shian Lu ◽  
Chien-Ming Chen ◽  
Yao-Kuang Huang ◽  
Yun-Hen Liu ◽  
Chiung-Lun Kao

2012 ◽  
Vol 56 (3) ◽  
pp. 312
Author(s):  
Tumul Chowdhury ◽  
Hemanshu Prabhakar ◽  
Navdeep Sokhal

1994 ◽  
Vol 3 (6) ◽  
pp. 444-447 ◽  
Author(s):  
DA Hagler ◽  
GA Traver

BACKGROUND. Normal saline instillation prior to endotracheal suctioning is a critical care ritual that persists despite a lack of demonstrated benefit. Saline instillation may dislodge viable bacteria from a colonized endotracheal tube into the lower airway, overwhelming the defense mechanism of immunocompromised patients. OBJECTIVE. To determine the extent to which normal saline irrigation and suction catheter insertion dislodge viable bacteria from endotracheal tubes. METHODS. Endotracheal tubes from 10 critical care patients intubated for at least 48 hours were obtained immediately after extubation. Each tube was used in random order for both saline instillation and suction catheter insertion. Dislodged material was cultured for quantitative analysis. RESULTS. Suction catheter insertion dislodged up to 60,000 viable bacterial colonies. A 5-mL saline instillation dislodged up to 310,000 viable bacterial colonies. CONCLUSIONS. The potential for infection caused by dislodging bacteria into the lower airway is additional evidence that routine use of saline during suctioning procedures should be abandoned.


2003 ◽  
Vol 54 (2) ◽  
pp. 219 ◽  
Author(s):  
Jeong Woo Park ◽  
Seung Min You ◽  
Won Jong Seol ◽  
Eun Ki Paik ◽  
Kyu Hoon Lee ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Bing Li ◽  
Chuan Liu ◽  
Lang Wang ◽  
Yang Li ◽  
Yong Du ◽  
...  

Objective. This study was designed to compare the effects of catheter drainage alone and combined with ozone in the management of multiloculated pyogenic liver abscess (PLA). Methods. The prospective study included 60 patients diagnosed with multiloculated PLA. All patients were randomly divided into two groups: catheter drainage alone (group I) and catheter drainage combined with ozone (group II). Drainage was considered successful when (1) the abscess cavity was drained and (2) clinical symptoms were resolved. Kruskal-Wallis nonparametric test was used to compare the success rates, length of stay (LOS), and need for further surgery of the two groups. P<0.05 indicates significant difference. Results. All patients’ catheters were successfully placed under CT guidance. Group I was treated with catheters alone and group II was treated with catheters and ozone. The success rates of groups I and II were 86% and 96%, respectively (P<0.05). And compared with group II, the duration of fever in group I was longer (P<0.05), and the LOS was also longer (P<0.05). Conclusion. Catheter drainage combined with ozone is an effective and safe treatment in multiloculated PLA. The Clinical Registration Number is ChiCTR1800014865.


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