Pneumothorax following tube thoracostomy and water seal drainage.

Indications and Complications of Tube Thoracostomy with Improvised Underwater Seal Bottles

BACKGROUND Tube thoracostomy is a lifesaving and frequently performed procedure in hospitals where the expertise and necessary tools are available. Where the ideal drainage receptacle is unavailable, the underwater seal device can be improvised with bottled water plastic can especially in emergency situations. AIMS AND OBJECTIVES To determine the frequencies of the various indications and com...

Pigtail Tube Drainage as a Safe and Effective Alternative to Traditional Chest Tube Thoracostomy in Adults with Spontaneous Pneumothoraces: A Systematic Review

Background: Primary spontaneous pneumothorax occurs in young, healthy populations, usually males, in the absence of lung disease. Secondary spontaneous pneumothorax occurs in older adults who have underlying lung disease such as COPD, emphysema, or a malignant growth. The estimated incidence of spontaneous pneumothorax is 7.4 to 18 per 100,000 for males and 1.2 to 6 per 100,000 in females. Trad...

Spontaneous pneumothorax. Management by tube thoracostomy and suction.

The Pigtail Catheter for Pleural Drainage: A Less Invasive Alternative to Tube Thoracostomy

BACKGROUND Tube thoracostomy remains the standard of care for the treatment of pneumothoraces and simple effusions. This report describes a favorable experience with the 8.3 French pigtail catheter as a less invasive alternative to traditional chest tube insertion. METHODS We retrospectively reviewed 109 consecutive pigtail catheter placements. Catheters were inserted under local anesthesia a...

Pre-hospital and in-hospital thoracostomy: indications and complications.

INTRODUCTION Pleural drainage with chest tube insertion for thoracic trauma is a common and often life-saving technique. Although considered a simple procedure, complication rates have been reported to be 2-25%. We conducted a prospective cohort observational study of emergency pleural drainage procedures to validate the indications for pre-hospital thoracostomy and to identify complications fr...