RT Journal Article
SR Electronic
T1 Feasibility and complications of nelaton catheter insertion after pleural biopsy as a novel method for pleural effusion drainage
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p601
VO 38
IS Suppl 55
A1 Enayat Safavi
A1 Soroush Seifirad
A1 Firoozbakhsh Shahram
A1 Sadegh Tavakkolizadeh
A1 Hamidreza Abtahi
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p601.abstract
AB Backgrounds: Respiratory failure due to massive pleural effusion is usually treated with drainage via a chest tube.Objectives: To investigate feasibility and complications of Nelaton catheter insertion after pleural biopsy as a novel method for pleural effusion drainage.Methods: After pleural biopsy, a Nelaton catheter No.18 was inserted in the pleural space guided by Abram biopsy needle, after drainage control chest radiology was performed. Complications and daily examination results were recorded.Results: 46 catheter insertions were performed on 41 patients (22 men, 19 women). Among these patients, pleural biopsy was indicated in 40 (78%) of them. Four patients underwent pleurodesis because of malignant pleural effusion due to breast cancer. Successfull fluid drainage after catheter insertion was observed in all 46 cases. Dyspnea was significantly decreased after catheter insertion in all patients.Mean drainage duration was 5.3 days. In 42 (91.3%) patients complete lung expansion was observed. Incomplete lung expansion was observed in 4 patients (2 patients due to trapped lung, and 2 patients due to loculated pleural effusion). Catheter obstruction was occurred in 12 patients which was resolved after Salin wash out in 11cases.Conclusion: Nelaton catheter insertion after pleural biopsy is a novel, cost effective, simple and tolerable methods with low morbidity for drainage of pleural effusion in symptomatic patients undergo pleural biopsy. Common complication of this method is catheter obstruction which could easily be resolved with Salin wash out.