Pigtail catheters versus traditional chest drains for pneumothorax treatment in two NICUs

Panza, Raffaella; Prontera, Giorgia; Ives, Kevin; Zivanovic, Sanja; Roehr, Charles C; Quercia, Michele; Schettini, F; Bianchi, Francesco Paolo; Tafuri, Silvio; Mauro, Antônio Orlando Di; Laforgia, Nicola

doi:10.1007/s00431-019-03478-6

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…Fig). These data are intended as an immediately available reference, which might help to achieve a higher safety level concerning the advancement of the needle of a pigtail catheter, the preferred tool in preterm infants [4,6], without penetrating the pericardium. In-terestingly, there is no systematic review addressing each step of this intervention, but only a Cochrane analysis comparing needle aspiration with chest tube drainage [9].…”

Section: Discussionmentioning

confidence: 99%

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Safely Inserting Neonatal Chest Drains

et al. 2021

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Background: Inserting a chest drain for a left-sided neonatal pneumothorax carries a risk of penetrating the pericardium. We identified reference ranges for the chest wall thickness (CWT) and distance between the pericardium and parietal pleura to improve safety of chest tube insertion. Method: We prospectively measured the CWT using ultrasound in 20 neonates (body weight [BW] 640–2,700 g, age <10 days) at the usual site of puncture in the 4th and 5th intercostal space (ICS). Furthermore, we measured the minimal distance between the parietal pleura and the cardiac silhouette in 131 neonatal chest X-rays (birth weight, 420–4,930 g [divided into 11 weight groups]; age <10 days). Both data sets were transformed into weight-dependent percentiles (Ps). We considered the difference between the sum of P 2.5 for the CWT plus P 2.5 for pleura-heart distance minus P 97.5 for the CWT as a safe corridor for placing the tip of the needle. Results: At both ICSs, curves for the above metrics did not cross, indicating a narrow but safe corridor for each BW with at least 97.5% probability. This safety corridor was 4.6–5.2 mm wide for the 4th and 2.8–3.4 mm for the 5th ICS. Conclusion: These data offer a reference for left-sided chest drain insertion for BW <2,700 g, which may help to improve safety of the procedure.

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Section: Discussionmentioning

confidence: 99%

“…Pneumothorax, a known complication of neonatal intensive care [1,2], is often treated using pigtail catheters [3][4][5]. However, severe complications may occur during insertion of a chest drain [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Safely Inserting Neonatal Chest Drains

et al. 2021

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“…The insertion length for the chest tube is 2 to 3 cm in small preterm infants and 3 to 4 cm in full-term infants [ 8 ]. The drainage procedure can be performed using either the traditional chest tube or the pigtail catheter, as they have comparable safety and effectiveness [ 133 ]. Pigtail catheter is considered to be a fast, easy, safe and effective alternative to traditional chest tube in premature infants [ 134 ].…”

Section: Intercostal Catheter/drain (Chest Tube Thoracostomy)mentioning

confidence: 99%

Indications, Measurements, and Complications of Ten Essential Neonatal Procedures

Zubi,

Abdullah,

Helmi

et al. 2023

International Journal of Pediatrics

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About 10% of newborns require some degree of assistance to begin their breathing, and 1% necessitates extensive resuscitation. Sick neonates are exposed to a number of invasive life-saving procedures as part of their management, either for investigation or for treatment. In order to support the neonates with the maximum possible benefits and reduce iatrogenic morbidity, health-care providers performing these procedures must be familiar with their indications, measurements, and potential complications. Hence, the aim of this review is to summarise ten of the main neonatal intensive care procedures with highlighting of their indications, measurements, and complications. They include the umbilical venous and arterial catheterizations and the intraosseous line which represent the principal postnatal emergency vascular accesses; the peripherally inserted central catheter for long-term venous access; the endotracheal tube and laryngeal mask airway for airway control and ventilation; chest tube for drainage of air and fluid from the thorax; and the nasogastric/orogastric tube for enteral feeding. Furthermore, lumber puncture and heel stick were included in this review as very important and frequently performed diagnostic procedures in the neonatal intensive care unit.

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“…Bei sehr engen Interkostalräumen bei Kindern und Säuglingen kann das Einbringen einer Thoraxdrainage mittels Minithorakotomie erschwert sein und mit erhöhten Raten an Verletzungen von Interkostalgefäßen einhergehen. Hier hat sich als Alternative die Pigtail-Drainage etabliert, welche ebenfalls in Seldinger-Technik unter vorheriger Punktion des Thorax mittels Draht und Vorschieben der Drainage über selbigen eingebracht werden kann[42]. Bei Anlage einer Thoraxdrainage erfolgt die Wahl des Durchmessers größenadaptiert.Wird eine Thoraxdrainage verwendet, sollte diese primär stumpf und unter digitaler Kontrolle eingebracht werden.…”

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