RT Journal Article
SR Electronic
T1 Alternate drain of thoracic cavity by Seldinger technique in a tertiary healthcare setting
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p592
VO 38
IS Suppl 55
A1 Georgia Hardavella
A1 Gerasimos Papavasileiou
A1 Dimitrios Zacheilas
A1 Manos Alchanatis
A1 Nikolaos Anastasiou
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p592.abstract
AB Introduction: Chest drain insertion is often required in the clinical practice. Large bore catheters are difficult to insert and may be associated with adverse complications. Seldinger drainage kit has been introduced to minimize the complications associated with conventional tube drainage.Aims and objectives: To share our experience in 850 patients who were inserted a portex Seldinger drainage kit (SDK) 12 F during the period 01/2001-02/2011.Materials and methods: Details of all SDK insertions were retrospectively collected by the respiratory team. This observational study looked at the indications, success, complications and patient outcome.Results: Eight hundred and fifty pts (mean age:65.7 years, range:18-92) were inserted an SDK due to pleural effusion (500 patients), pneumothorax (250 patients), traumatic hemothorax (100 patients). Successful drainage was obtained in all patient without any complications at insertion except for 1 case of hemothorax in a patient receiving anticoagulant therapy. Thirty patients had a malignant pleural effusion and underwent pleurodesis with bleomycin or novadron. In pneumothorax the mean stay of drain was 3 days (range 2-15 days).Conclusions: SDK is a minimal invasive and effective alternate method for pleural space drainage with minor complications. SDK training should be regularly applied in young doctors to ensure the quality and efficacy of performance.