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Modified Seldinger technique for the insertion of standard chest tubes
E Altman1, A Ben-Nun, W Curtis
1Department of Thoracic Surgery, Rambam Medical Center, 8 Ha'Aliya Street, 35254, Haifa, Israel.
American Journal of Surgery
|July 5, 2001
Summary
This study presents a modified Seldinger technique for chest tube insertion, improving safety and reducing complications. The method uses readily available materials for effective pleural space drainage.
Area of Science:
- Thoracic Surgery
- Medical Devices
- Minimally Invasive Procedures
Background:
- Closed tube thoracostomy is a standard surgical procedure.
- Evacuation of air, blood, or other materials from the pleural space is crucial.
- Existing chest tube insertion techniques may carry risks of traumatic complications.
Purpose of the Study:
- To describe a modified Seldinger technique for chest tube insertion.
- To provide a simpler, safer, and more effective method for pleural drainage.
- To minimize traumatic complications associated with chest tube placement.
Main Methods:
- A modification of the Seldinger technique was employed.
- A Nelaton or Thieman catheter was threaded through a standard Argyle-type chest tube.
- The catheter acted as a guide for chest tube insertion into the pleural space via a dissected tract.
Main Results:
- The modified technique facilitates chest tube insertion.
- The procedure is simple to use, effective, and safe.
- Standard, inexpensive materials are utilized.
Conclusions:
- This modified Seldinger technique offers a safe and effective alternative for chest tube insertion.
- The method minimizes potential traumatic complications compared to other techniques.
- It provides a practical approach for pleural space evacuation using accessible materials.