TY - JOUR T1 - Blunt dissection chest drains and indwelling pleural catheters - The trainee's perspective JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2016.PA5053 VL - 48 IS - suppl 60 SP - PA5053 AU - Kate Millington AU - Rachel Jones AU - Ari Manuel Y1 - 2016/09/01 UR - http://erj.ersjournals.com/content/48/suppl_60/PA5053.abstract N2 - Introduction: Seldinger drain technique has revolutionized medical procedures. Recent developments suggest it may be time to reevaluate the place of Seldinger chest drains (Rahman, N.M., et al. JAMA 2015; 314(24): 2641-53, Fysh, E.T., et al. Chest 2012;142(2):394-400).Objective: To assess if Respiratory trainees (grades ST3-ST7) are developing skills in blunt dissection chest drains and Indwelling Pleural Catheters (IPC).Methods: An online survey was distributed to all Respiratory trainees within South West England. It enquired about blunt dissection drains and IPC. The data was analyzed using Microsoft Excel.Results: 52% (26/50) of trainees responded, with all grades represented. 80% (20/25) had observed a blunt dissection chest drain being inserted. 68% had experience of inserting a drain, however only 53% could perform the procedure independently. Of these trainees 88% (15/17) had specific teaching on the procedure. On average last insertion was 20 months (range 1-108 months). IPC insertion was observed by 91% (20/22) of trainees. Only 48% had performed the procedure and of these only 30% were able to perform this independently (all had direct training). The procedure had last been performed on average 12 months ago (1-48 months).Conclusion: There is a sparsity of procedural skills in Respiratory trainees. If current research guidance prevails we may see more blunt dissection chest drains and IPC being performed. Trainees in this region are currently not all equipped. However once taught they do appear confident in performing the procedure unaided. As such, regular practical clinical skills should be introduced into training events to cover these more complex pleural skills. ER -