Pigtail Catheter Drainage of Transudative Pleural Effusions Hastens Liberation From Mechanical Ventilation

Adenigbagbe, Adesoji; Kupfer, Yizhak; Seneviratne, Chanaka; Pascal, William; Tessler, Sidney

doi:10.1378/chest.132.4_meetingabstracts.455

Cited by 3 publications

(2 citation statements)

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“…Removal of large PEs by thoracic drainage often improves arterial oxygenation by promoting lung re-aeration [3,4]. It may also impact the duration of mechanical ventilation favorably [5]. In case of moderate PE, side effects of pleural drainage have to be balanced against limited benefit, with the potential of exposing the patient to an unfavorable benefit/risk ratio [6].…”

Section: Introductionmentioning

confidence: 99%

Multiplane ultrasound approach to quantify pleural effusion at the bedside

et al. 2010

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Section: Introductionmentioning

confidence: 99%

Multiplane ultrasound approach to quantify pleural effusion at the bedside

et al. 2010

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“…There is also evidence that pleural drainage in patients with chronic diseases is safe and brings respiratory comfort more quickly [12][13][14] . There remains the question about the safety and effectiveness of the WC's outpatient use.…”

Section: Introductionmentioning

confidence: 99%

Early discharge for patients with benign pleural effusions using a Wayne catheter (pigtail) chest drain - analysis of safety, complications, and quality of life

Miotto¹,

Honda²,

Dias³

et al. 2022

Rev. Col. Bras. Cir.

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Objective: to assess safety, efficacy and quality of life in patients with benign pleural effusions undergong pleural drainage with Wayne pleural catheter (DW) in an outpatient setting. Method: this is a prospective study, in which 47 patients were evaluated between July 2017 and October 2018. Patients with non-malignant pleural effusions underwent pleural drainage with clinical evolution compatible with outpatient care were included. Patients who underwent drainage due to other conditions and patients were excluded. Results: after catheter placement, the mean length of hospital stay was 3.14 (± 3.85) days, and 21 patients (44.68%) were discharged within 24 hours. The mean time with the catheter was 12.63 (± 7.37) days. The analysis of the pleural fluid was transudate in 87.3% of cases and exudate in 12.3%. The causes of pleural effusion were heart failure (72.3%), renal failure (19.1%), liver failure (6.3%) and pneumonia (8.5%). The quality of life, analyzed according to the parameters of the questionnaire SF 36, showed low average values when compared to other studies. Analyzing each descriptor, the average was greater only in the limitation related to physical aspects. In the other descriptors, the results were similar, but smaller. Conclusion: the outpatient use of pleural catheters of the Wayne type (pigtail) proved to be feasible, safe and with a low associated infection rate. This is a viable option for selected patients.

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Pleural Effusions and Atelectasis

Marik

2010

Handbook of Evidence-Based Critical Care

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Pigtail Catheter Drainage of Transudative Pleural Effusions Hastens Liberation From Mechanical Ventilation

Cited by 3 publications

References 0 publications

Multiplane ultrasound approach to quantify pleural effusion at the bedside

Multiplane ultrasound approach to quantify pleural effusion at the bedside

Early discharge for patients with benign pleural effusions using a Wayne catheter (pigtail) chest drain - analysis of safety, complications, and quality of life

Pleural Effusions and Atelectasis

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