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[Thoracic drainage. What is evidence based?].

F Gambazzi1, J Schirren

  • 1Klinik für Thoraxchirurgie, Dr.-Horst-Schmidt-Kliniken, Wiesbaden.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|February 25, 2003
PubMed
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Pleural drainage is essential for restoring physiological conditions when pleural negative pressure is lost. This procedure, with a low complication rate below 3%, is crucial for conditions like pneumothorax and pleural empyema.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Medical Procedures

Background:

  • Pleural drainage is vital for restoring physiological conditions after loss of pleural negative pressure.
  • Historical use of pleural drainage dates back to antiquity for conditions like pleural empyema.
  • Correct terminology, such as thoracic or pleural drainage, is often misused.

Purpose of the Study:

  • To clarify the indications and standard procedures for pleural drainage.
  • To highlight the safety and complication rates associated with pleural drainage insertion.
  • To emphasize the importance of correct terminology in medical literature.

Main Methods:

  • Review of historical and current practices in pleural drainage.
  • Identification of key indications for pleural drainage placement.

Related Experiment Videos

  • Description of the recommended standard insertion technique and contraindications.

    • Main Results:

    • Indications include pneumothorax, pleural effusion, pleural empyema, hemothorax, and chylothorax.
    • Standard insertion is recommended in the fifth or sixth intercostal space, anterior axillary line.
    • Closed insertion with a trocar is not advised due to increased injury risk.

    Conclusions:

    • Pleural drainage is a safe procedure when correctly performed, with a complication rate not exceeding 3%.
    • Complications, though rare, can include malplacement, hemorrhage, or infection (e.g., pleural empyema).
    • Accurate terminology and adherence to standard procedures are essential for effective pleural drainage.