Efficacy of drainage of pleural effusion using small bore pleural catheter and conventional thoracostomy using large bore chest tube: a comparative study

Krishnakumar, Easwaramangalath Venugopal; Anas, Muhammed; Rennis, Davis Kizhakkepeedika; Thomas, Vadakken Devassy; Vinod, Babu

doi:10.18203/2320-6012.ijrms20151158

Cited by 3 publications

(6 citation statements)

References 8 publications

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“…Similar results have been noted in other studies in terms of efficacy such as Vedam and Barnes,[ 4 ] Lin et al .,[ 12 ] and Krishnakumar et al . [ 13 ] while higher success rates were also noted with SB ICC among patients with spontaneous pneumothorax in Iepsen and Ringbæk study. [ 14 ] Dislodgment as a cause of failure was more common in our study in LB ICT group in comparison to previous studies where it was common in SB ICC group.…”

Section: Discussionmentioning

confidence: 85%

“…[ 15 ] and Benton and Benfield[ 16 ] suggest a trend toward a longer period of drainage with the LB ICT, while the studies by Iepsen and Ringbæk,[ 14 ] Krishnakumar et al . [ 13 ] suggest that SB ICC was significantly associated with shorter dwell time. In most studies the median SB ICC dwell time varied between 3 and 7.5 days.…”

Section: Discussionmentioning

confidence: 99%

“…In most studies the median SB ICC dwell time varied between 3 and 7.5 days. [ 8 10 12 13 14 15 16 17 18 19 20 ] In Iepsen and Ringbæk study,[ 14 ] shorter duration of hospitalization was also noted in SB ICC group.…”

Section: Discussionmentioning

confidence: 99%

“…(43.9% vs. 21.66%, P = 0.001). [ 13 14 16 ] In Benton and Benfield study,[ 16 ] a much higher infection rate was noted with large-bore drains (12% skin and 16% pleural infections vs. none in the small-bore group). Similarly, high rates of infection were seen in another study (27.4% vs. 9.5%, P = 0.026).…”

Section: Discussionmentioning

confidence: 99%

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The effectiveness of small-bore intercostal catheters versus large-bore chest tubes in the management of pleural disease with the systematic review of literature

et al. 2020

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Objective: The purpose of this study was to compare the effectiveness of small-bore intercostal catheters (SB ICCs; 10–14 Fr) to large-bore intercostal tubes (LB ICTs; >20 Fr) in the management of pleural diseases. Methods: A total of 52 patients (42 males) with a mean age of 55 ± 23 years undergoing pleural intervention were included in the analysis. Twenty-five patients (48.1%) had pneumothorax and rest (51.9%) had pleural effusion. Half of the patients underwent SB ICC (mean age: 63 ± 20 years) and the remaining 26 underwent LB ICT (mean age: 47 ± 25 years). Results: SB ICCs were predominantly used in patients with primary pleural effusion and LB ICTs in patients presenting with pneumothorax. Failures were in <20% of SB ICC patients (mainly from loculation) and in <30% with LB ICT patients (from persistent airleak) – difference that was not statistically significant. In both groups, no deaths or major complications directly related to the procedure were observed. However, the proportion that needed surgery was significantly different in two cohorts (18.5% OF SB ICC and 42.3% of LB ICT cohorts). The ICC dwell time was less in SB ICC (5 ± 4 days), compared to LB ICT (8 ± 6 days). SB ICCs were associated with less pain and seem to be tolerated better by the patients. Conclusions: In well-supervised tertiary hospital setting, SB ICCs are as effective as LB ICTs with better patient tolerance, reduced dwell time, and reduced likelihood for surgical intervention.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The effectiveness of small-bore intercostal catheters versus large-bore chest tubes in the management of pleural disease with the systematic review of literature

et al. 2020

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“…Due to this, small-bore chest tube (SBCT) insertion using the Seldinger technique gained popularity, and Diacon et al reported that ultrasound (US)-guided chest tube insertion pre-vented possible accidental organ puncture [3]. However, SBCTs are prone to blockage [1,4], especially in empyema and hemothorax cases, and LBCTs are still required. Although specific chest tube kit using Seldinger technique such as Thal-Quick Chest Tube Set (Cook Medical; Bloomington, IN) could be available in some institutions, LBCT insertion using the Seldinger technique is not commonly performed.…”

Section: Introductionmentioning

confidence: 99%

Large-bore Chest Tube Insertion: Seldinger Technique over Two Guidewires

Saiga,

Aramaki,

Sato

2024

Interventional Radiology

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Purpose: Large-bore chest tube insertion is commonly performed using the trocar technique and blunt dissection; however, large-bore chest tube can cause severe visceral injury due to penetration, which is a life-threatening complication. Conversely, small-bore chest tubes can be safely inserted using the Seldinger technique; however, small-bore chest tubes are prone to blockage, especially in empyema cases. Therefore, this study aimed to demonstrate largebore chest tube insertion using the Seldinger technique over two guidewires following image-guided puncture. Material and Methods: We started performing large-bore chest tube insertion using the Seldinger technique over two guidewires following image-guided puncture in February 2022. Demographic data and procedural details, such as chest tube size, dilator size, procedure time, and type of image-guided puncture, of patients who underwent this procedure between February 2022 and March 2023 were retrospectively reviewed. Technical success was defined as the successful drainage of the pleural cavity. Results: This method was used for performing ten procedures in nine patients who presented with empyema, pneumothorax, and pulmonary fistula. The insertion of a large-bore chest tube with a size ranging from 18-to 24-French was successfully performed in all cases without any complications. The median procedure time was 17.5 (first quartile-third quartile, 13.5-28.0) min. Conclusions: Large-bore chest tube insertion using the Seldinger technique over two guidewires may be used as an alternative to conventional methods.

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Ultrasound Guided Pleural Drainage with the Seldinger Technique Using a Central Venous Catheter

Arslan¹,

Evren²,

Köker³

et al. 2023

cayd

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Efficacy of drainage of pleural effusion using small bore pleural catheter and conventional thoracostomy using large bore chest tube: a comparative study

Cited by 3 publications

References 8 publications

The effectiveness of small-bore intercostal catheters versus large-bore chest tubes in the management of pleural disease with the systematic review of literature

The effectiveness of small-bore intercostal catheters versus large-bore chest tubes in the management of pleural disease with the systematic review of literature

Large-bore Chest Tube Insertion: Seldinger Technique over Two Guidewires

Ultrasound Guided Pleural Drainage with the Seldinger Technique Using a Central Venous Catheter

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