Tube thoracostomy: how to insert a chest drain

2006 ◽  
Vol 67 (Sup1) ◽  
pp. M16-M18 ◽  
Author(s):  
Shafick Gareeboo ◽  
Suveer Singh
Keyword(s):  
Tube Thoracostomy ◽  
Chest Drain

scholarly journals Tube Thoracostomy: Complications and Its Management

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Emeka B. Kesieme ◽  
Andrew Dongo ◽  
Ndubueze Ezemba ◽  
Eshiobo Irekpita ◽  
Nze Jebbin ◽  
...  
Keyword(s):  
Insertion Site ◽  
Tube Thoracostomy ◽  
Chest Drain ◽  
Complication Rates ◽  
Blunt Dissection ◽  
Medline Search ◽  
Management Of Complications ◽  
Reexpansion Pulmonary Edema ◽  
Tube Malposition ◽  
Dissection Technique

Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening.Aim. To present an update on the complications and management of complications of tube thoracostomy.Methods. A review of the publications obtained from Medline search, medical libraries, and Google on tube thoracostomy and its complications was done.Results. Tube thoracostomy is a common surgical procedure which can be performed by either the blunt dissection technique or the trocar technique. Complication rates are increased by the trocar technique. These complications have been broadly classified as either technical or infective. Technical causes include tube malposition, blocked drain, chest drain dislodgement, reexpansion pulmonary edema, subcutaneous emphysema, nerve injuries, cardiac and vascular injuries, oesophageal injuries, residual/postextubation pneumothorax, fistulae, tumor recurrence at insertion site, herniation through the site of thoracostomy, chylothorax, and cardiac dysrhythmias. Infective complications include empyema and surgical site infection.Conclusion. Tube thoracostomy, though commonly performed is not without risk. Blunt dissection technique has lower risk of complications and is hence recommended.

Thoracic surgery

2011 ◽  
Author(s):  
G. N. Morritt ◽  
A. N. Morritt
Keyword(s):  
Median Sternotomy ◽  
Rigid Bronchoscopy ◽  
Tube Thoracostomy ◽  
Chest Drain ◽  
Posterolateral Thoracotomy ◽  
Anterolateral Thoracotomy ◽  
Lower Lobectomy ◽  
Left Upper Lobectomy ◽  
Right Lower Lobectomy ◽  
Insertion Tube

Bronchoscopy 692Rigid bronchoscopy 694Flexible bronchoscopy 696Cervical mediastinoscopy 698Anterior mediastinotomy 700Chest drain insertion: tube thoracostomy 702Posterolateral thoracotomy 706Anterolateral thoracotomy 708Median sternotomy 710Lobectomy 712Right upper lobectomy 714Right middle lobectomy 716Right lower lobectomy 718Left upper lobectomy ...

scholarly journals Pigtail Catheter Use for Draining Pleural Effusions of Various Etiologies

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Adel Salah Bediwy ◽  
Hesham Galal Amer
Keyword(s):  
Pleural Effusion ◽  
Success Rate ◽  
Pleural Fluid ◽  
Tube Thoracostomy ◽  
Chest Drain ◽  
Parapneumonic Effusion ◽  
Pigtail Catheter ◽  
Efficacy And Safety ◽  
Malignant Effusion ◽  
Pleural Effusions

Background. Use of small-bore pigtail catheter is a less invasive way for draining pleural effusions than chest tube thoracostomy. Methods. Prospectively, we evaluated efficacy and safety of pigtail catheter (8.5–14 French) insertion in 51 cases of pleural effusion of various etiologies. Malignant effusion cases had pleurodesis done through the catheter. Results. Duration of drainage of pleural fluid was 3–14 days. Complications included pain (23 patients), pneumothorax (10 patients), catheter blockage (two patients), and infection (one patient). Overall success rate was 82.35% (85.71% for transudative, 83.33% for tuberculous, 81.81% for malignant, and 80% for parapneumonic effusion). Nine cases had procedure failure, five due to loculated effusions, and four due to rapid reaccumulation of fluid after catheter removal. Only two empyema cases (out of six) had a successful procedure. Conclusion. Pigtail catheter insertion is an effective and safe method of draining pleural fluid. We encourage its use for all cases of pleural effusion requiring chest drain except for empyema and other loculated effusions that yielded low success rate.

scholarly journals Iatrogenic Pneumopericardium after tube thoracostomy: Case Report

2020 ◽  
Author(s):  
Esubalew T. Mindaye ◽  
Abraham Arayia ◽  
Tesfaye H. Tufa ◽  
Mahteme Bekele
Keyword(s):  
Surgical Intervention ◽  
Good Condition ◽  
Rare Event ◽  
Female Child ◽  
Tube Thoracostomy ◽  
Severe Malnutrition ◽  
Positive Pressure ◽  
Chest Drain ◽  
Rare Occurrence ◽  
Thoracoabdominal Injuries

Abstract Background: Pneumopericardium, the presence of air within the pericardial space, is a rare occurrence which usually follows positive pressure ventilation in infants, or blunt and penetrating thoracoabdominal injuries in adults. The occurrence of iatrogenic pneumopericardium following tube thoracostomy is an extremely rare occurrence.Case presentation: We present a rare case of iatrogenic pneumopericardium in a 1 year and 7 months old female child for whom a left side tube thoracostomy was done using nasogastric tube for an indication of left empyema thoracis. Later, she developed progressive worsening of shortness of breath and imaging revealed iatrogenic pneumopericardium. She was managed conservatively and discharged home in good condition.Discussion: Pneumopericardium can have a range of presentations from being asymptomatic to presenting with features of cardiac tamponade. Treatment can range from conservative observation to pericardiocentesis and insertion of a small chest tube into the pericardium. In the absence of echocardiographic evidence of tamponade, the severe malnutrition our patient had and the already infected pleural cavity which could have increased her postoperative complication we deferred surgical intervention.Conclusion: Iatrogenic pneumopericardium is a rare event but it might lead to death if not diagnosed and treated promptly. Although reporting of complications is not popular, this represents an opportunity to advance the safety during chest drain insertion. The tendency to develop tension pneumopericardium urging surgical intervention is high in pediatric patients but our patient has improved well with conservative management.

Chest pain from chest drain

2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
D Schlarb ◽  
H Welp ◽  
V Kösek ◽  
J Sindermann ◽  
A Hoffmeier ◽  
...  
Keyword(s):  
Chest Pain ◽  
Chest Drain

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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