Key result
Modified 8.3-Fr pigtail catheters safely drain pediatric pleural fluid and pneumothoraces without placement complications.
Why the study?
A modified 8.3-Fr pigtail catheter was developed for chronic percutaneous drainage of pericardial effusions and its safety and efficacy for pleural drainage needed evaluation.
Does an 8.3-Fr modified pigtail catheter safely and effectively drain pleural fluid or air in infants and children?
Observational (n=12)
Does an 8.3-Fr modified pigtail catheter safely and effectively drain pleural fluid or air in infants and children?
Percutaneous pigtail drainage of pleural fluid or air using an 8.3-Fr modified catheter is safe, effective, and less traumatic than standard chest-tube placement in infants and children.
Supports feasibility of modified pigtail drainage in children; leaves open need for comparative trials versus standard tubes.
An 8.3-Fr modified pigtail catheter has been developed for chronic percutaneous drainage of pericardial effusions. Placement of this catheter using a modified Seldinger technique is virtually atraumatic. To test the safety and efficacy of this catheter for pleural drainage, it was used to manage eight collections of pleural fluid and nine pneumothoraces in a total of 12 infants and children. There were no placement complications. Fluid accumulations were satisfactorily drained in every instance. Pneumothoraces were treated definitively with a single catheter, except when a bronchopleural fistula was present. Percutaneous pigtail drainage of pleura fluid or air is simple, safe, effective, and substantially less traumatic than standard chest-tube placement.
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Fuhrman et al. (1986) conducted an observational in Pleural fluid collections and pneumothoraces (n=12). 8.3-Fr modified pigtail catheter was evaluated on Placement complications and drainage efficacy. An 8.3-Fr modified pigtail catheter safely and effectively drained pleural fluid and pneumothoraces in 12 infants and children, with no placement complications.
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