Study of pigtail catheter and chest tube in management of secondary spontaneous pneumothorax

Hussein, Rabieh M.M.; El-Shahat, Hanan M.; Shaker, Amany; Hashem, Ahmed Zidan Abozeid

doi:10.1016/j.ejcdt.2016.08.011

Cited by 8 publications

(11 citation statements)

References 13 publications

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“…Hussein et al . [ 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.…”

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: 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%

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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“…[16] However, in chest tube drainage, it reported that the frequency of complications was 54.5% (6/11). [18] Another study also found 17.4% (4/23) patients from children experienced minor complications. [15] This invasive course needed to make an incision on the skin and carve the intercostal muscle if the large-bore chest tubes could be inserted into the pleural space, which may lead to possible complications like hemothorax and empyema.…”

Section: Discussionmentioning

confidence: 95%

Does pigtail catheters relieve pneumothorax?

Fang

Liu²,

Luo³

et al. 2018

Medicine

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Background: Pigtail catheter drainage has been usually applied for the treatment of pleural effusion and pneumothorax. Our aim was to investigate the application and efficacy of pigtail catheters for pneumothorax. Methods: We carried out a meta-analysis of retro- or pro-spective studies addressing the effect of pigtail catheters for pneumothorax. We presented success rates of pigtail catheter drainage as primary outcomes, and considered the duration of drainage, and complication rates as secondary outcomes. Pooled data were available using the fixed or random effects model. Heterogeneity, sensitivity, and subgroup analyses were performed. Results: The meta-analysis was based on 16 articles with a total of 1067 patients. Our analyses showed that pooled success rates were 0.77 (0.71–0.82), )furthermore, duration of drainage was 5.61 (3.99–7.23), and complication rates 0.18 (0.09–0.27). Subgroup results according to causes of pneumothorax and patient characteristics were robust and all consistent with overall outcomes. Conclusion: These suggested that pigtail catheter insertion within radiological guidance may provide a safe and effective way for the treatment of pneumothorax. More large-scale and prospective studies were required to determine these findings.

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“…who observed a shorter duration of drainage. [ 19 ] In view the heterogeneity of the data and the diverse distribution of cases as per various etiologies, the exact number of days required for drainage and hospitalization is not comparable with these various studies. The ACD was a safe method of drainage and the pain recorded on VAS was significantly less as compared with nonambulatory method.…”

Section: Discussionmentioning

confidence: 99%

“…who observed shorter duration of hospital stay using pigtail catheter. [ 19 ] Somolinos et al . also enumerated the efficacious use of portable chest drainage system in reducing the hospital stay in the management of persistent air leak postthoracotomy.…”

Section: Discussionmentioning

confidence: 99%

Use of pigtail catheter and urosac: Numero uno for ambulatory chest drainage!

Desai

Joshi

2018

Lung India

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Background:Intercostal chest drainage is required for varied lung diseases with the pleural involvement. While the conventional method of intercostal drainage (ICD) insertion with the bulky underwater drain (UWD) was the gold standard for management, it had numerous disadvantages. It was time and again challenged with better ambulatory methods, although the documentation and continued use of the same are rare in practice. We studied the efficacy of ambulatory chest drainage (ACD) with pigtail and urosac against the conventional drainage methods (ICD-UWD) at a tertiary care center.Materials and Methods:This prospective, observational study included the patients requiring chest drainage grouping them as per the intervention they underwent, i.e., (1) Pigtail-Urosac (ACD group) and (2) ICD-UWD (Non-ACD group). The clinical data were recorded and analyzed for the difference in the hospital stay, the total duration of drainage, successful outcome, residual disease, and pain in both groups using unpaired t-test and Chi-square test.Results:Of the 85 patients included in the study; 45 had pigtail-urosac and 40 had ICD-UWD, consisting of 34 pleural effusions and 51 pneumothoraces. The ACD and non-ACD groups were similar in etiology. Of the 85 patients, 50 had complete lung expansion, 18 pleural thickening, 15 loculated residual disease, and two pleurocutaneous fistulae. In the ACD group, the hospital stay was less as compared to the non-ACD group, i.e., 4.06 (4.42) versus 19.68 (31.39) days (P = 0.0008). The duration of chest drainage showed a similar trend, i.e., 19.29 (66.91) versus 52.18 (46.38) days (P = 0.006). Pain (P < 0.0001) recorded was significantly less with better expansion (P < 0.0001), less pleural thickening (P = 0.0067), and residual disease (P = 0.0087) in the ACD group.Conclusion:The use of pigtail-urosac is a safe, effective, and preferred method for ACD.

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Study of pigtail catheter and chest tube in management of secondary spontaneous pneumothorax

Cited by 8 publications

References 13 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

Does pigtail catheters relieve pneumothorax?

Use of pigtail catheter and urosac: Numero uno for ambulatory chest drainage!

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