Application of ultrasound-guided pigtail catheter for drainage of pleural effusions in the ICU

Liang, Shinn-Jye; Tu, Chih Yen; Chen, Hung Jen; Chen, Chia-Hung; Chen, Wei; Shih, Chuen Ming; Hsu, Wu Huei

doi:10.1007/s00134-008-1314-2

Cited by 54 publications

(59 citation statements)

References 20 publications

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“…[45]. Conversely, the same research group found in another study that these massive transudative pleural effusions were also associated with the highest overall complication rates (6 of 33, or 18%) [36].…”

Section: Complications Of Thoracentesismentioning

confidence: 92%

“…In contrast, the pneumothorax rate associated with ultrasound-guided thoracenteses was lower, ranging from 0 to 9.1%. The rates of subsequent chest tube insertion for pneumothoraces ranged from 2.2-7% in those procedures without ultrasound guidance and 0-3.7% in procedures performed with ultrasound guidance [6,13,22,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44].…”

Section: Overall Incidence Of Pneumothorax and Impact Of Ultrasoundmentioning

confidence: 99%

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Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

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Objective. To review the use of ultrasound for the detection of pleural effusions and guidance of the thoracentesis procedure. Methods. Two clinical cases will be presented in which ultrasound proved beneficial in guiding the diagnosis and management of patients with pleural effusions and respiratory distress. The ultrasound techniques for the evaluation of pleural effusions and performance of the thoracentesis procedure are discussed. A review of the most current literature follows to present the known diagnostic and safety benefits of ultrasound guidance for thoracentesis. Conclusions. Ultrasound improves the diagnostic accuracy for the detection of pleural effusions over standard chest radiographs. Ultrasound can also diagnose a complicated pleural effusion that may be at higher risk for an adverse outcome during a thoracentesis. Optimally, thoracentesis should be performed under direct ultrasound guidance to decrease the complication rate and improve patient safety.

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Section: Complications Of Thoracentesismentioning

confidence: 92%

Section: Overall Incidence Of Pneumothorax and Impact Of Ultrasoundmentioning

confidence: 99%

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

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“…15 Similarly, Roberts et al, studying the efficacy of both techniques in pediatric thoracotomy, found that the use of pigtail catheters was more efficacious in draining serous effusion. 16 Chest tube drainage was superior in cases of hemothorax, chylous pleural effusion, and empyema.…”

Section: Pigtail Catheter Versus Chest Tube Drainagementioning

confidence: 97%

“…Light et al, Roberts et al, and Liang et al reported higher efficacy of chest tube in comparison to pigtail catheter for drainage of empyema. [15][16][17] Therefore, it is recommended that chest tubes are to be use at least initially for drainage of empyema, and pigtail catheter can be used after. However, some authors reported that there was no statistically significant difference between the initial use of pigtail catheter and chest tube drainage of pleural empyema, particularly when there was no evidence of loculations.…”

Section: Pigtail Catheter Versus Chest Tube Drainagementioning

confidence: 99%

Implication of pigtail catheter vs chest tube drainage

Elsayed

Alkhalifa

Alodayni

et al. 2018

Int J Community Med Public Health

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Pigtail catheters and chest tubes have long been used for drainage of pleural collections for many years. In thoracic surgery, each technique is preferred in certain conditions. Pigtail catheters have the advantages of being smaller in size, more flexible, less traumatic, easier in insertion, and are associated with lower complication rates. They are particularly effective in draining non-viscid and non-coagulable fluids. The main disadvantages are their ineffectiveness in draining thick fluids, their higher liability to clogging, kinking, and obstruction. Chest tubes, on the other hand, have larger diameters allowing faster and more efficacious drainage of thick fluids and hemothorax. However, they are more painful, more distorting to tissues, and have higher complications rates. The aim of this article is to provide a review on both systems, and to compare the reported safety, efficacy, and complications of each.

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“…Plevral efüzyon sonografik olarak anekoik, kompleks septalı-septasız ve homojen ekoik içerik-li olarak görülebilir. Light Kriterleri plevral efüzyonların transüda ve eksüda ayrımı için kullanılır [4]. Bu ayırım tanısal yaklaşımı ve hasta yönetimini etkiler.…”

Section: Plevral Efüzyon Ve Görüntüleme (Us Ve Bt)unclassified

Torakal Sivi ve Abse Drenajlari

Ünlü¹,

Yılmaz²

2015

Trd Sem

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Application of ultrasound-guided pigtail catheter for drainage of pleural effusions in the ICU

Abstract: The ultrasound-guided pigtail catheter inserted by intensivists is a well-tolerated and effective method of draining all kinds of pleural effusions in critically ill patients. We suggest that pigtail catheter drainage be considered as the initial treatment of choice in the ICU.

Cited by 54 publications

References 20 publications

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Implication of pigtail catheter vs chest tube drainage

Torakal Sivi ve Abse Drenajlari

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