Should central venous catheters be used to drain pleural effusions? Authors' response

نویسندگان

  • Kulgit Singh
  • Shi Loo
  • Rinaldo Bellomo
چکیده

We would like to thank MacDuff and Grant [1], as well as the many others who accessed it, for their interest in our article [2] on using central venous catheters for pleural drainage. We started using this technique about 5 years ago with the aim of achieving better patient comfort without compromising on adequate pleural drainage. We did not at that time have access to the specific chest drainage systems mentioned by MacDuff and Grant. While we agree that the central venous catheters we describe are not specifically designed for the purpose of pleural drainage, they are made of biologically inert materials with a long track record of intravenous use. We have not modified them before placement. To minimize the risk of complications at insertion, we were selective in our choice of patients and we monitor these patients closely from the safety and efficacy points of view.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Should central venous catheters be used to drain pleural effusions?

However, we have reservations regarding the routine use of central venous catheters to drain pleural effusions. Several manufacturers (including the Sims-Portex Seldinger Chest Drainage Kit and Cook Quick-Thal Chest Tube) have specific chest drainage systems that take advantage of the Seldinger dilator over a wire method of insertion. These have the advantage of having a number of side ports (t...

متن کامل

Management of Septated Malignant Pleural Effusions

Purpose of Review We review recent studies of patients with septated malignant pleural effusions, to understand what the clinical implications for patients are and what evidence-based methods should be used to manage these effusions. Recent Findings Fibrinolytics improve effusion size assessed radiologically in patients with a chest drain inserted for septated malignant pleural effusions but ...

متن کامل

Bilateral pleural effusions following central venous cannulation.

We describe a patient who developed bilateral pleural effusions as a delayed complication following central venous catheter insertion. Respiratory distress should not only raise the clinical suspicion of a pneumothorax but also of erosion and perforation of the central vein. The mechanism, diagnosis, management and prevention of this complication are discussed.

متن کامل

Survey of a Practical Approach to Central Venous Catheterization in Pediatric Patients

Background Central venous catheter (CVC) is used for measuring hemodynamic variables, transfusion of blood, fluids and medications when peripheral vascular lack sufficiency. Unfortunately CVC is associated with many complications ranging from anxiety and discomfort for the patient to severe mechanical side effects such as arterial lacerations, pleural and pericardial injury as well as infection...

متن کامل

Bilateral pleural effusion complicating umbilical venous catheterization.

BACKGROUND Umbilical venous lines are sometimes complicated with pleural and or pericardial effusion, often due to line migration. CASE CHARACTERISTICS Bilateral chylous pleural effusion without pericardial effusion in a 28 weeks, extremely low birth infant who was on total parenteral nutrition. OBSERVATIONS/INVESTIGATIONS Investigations including chest x ray and 2D echocardiogram showed bi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Critical Care

دوره 8  شماره 

صفحات  -

تاریخ انتشار 2004