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Related Experiment Videos

Pleural drainage using central venous catheters.

Kulgit Singh1, Shi Loo, Rinaldo Bellomo

  • 1Consultant, Department of Anaesthesiology, Tan Tock Seng Hospital, Singapore. kulgit_singh@ttsh.com.sg

Critical Care (London, England)
|November 20, 2003
PubMed
Summary
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A 16 G central venous catheter effectively drains large pleural effusions in intensive care unit patients. This method is safe, well-tolerated, and avoids complications associated with chest tubes.

Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Medical Devices

Background:

  • Pleural effusions are common in intensive care unit (ICU) patients.
  • Traditional drainage methods can be invasive or lead to complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of using a single lumen 16 G central venous catheter for draining uncomplicated pleural effusions in ICU patients.

Main Methods:

  • Prospective observational study in two university-affiliated ICUs.
  • Inclusion of 10 ICU patients with large, non-loculated effusions.
  • Bedside insertion of 16 G central venous catheter using Seldinger technique without ultrasound guidance.

Main Results:

  • Mean drained volumes at 1, 6, and 24 hours were 454±241 ml, 756±403 ml, and 1010±469 ml, respectively.

Related Experiment Videos

  • Largest volume drained was 6030 ml over 11 days; longest indwelling period without infection was 14 days.
  • No instances of pneumothorax, hemothorax, re-expansion pulmonary edema, or catheter-related issues were observed.

    • Conclusions:

    • Indwelling 16 G central venous catheters are effective for draining large, uncomplicated pleural effusions.
    • This method is well-tolerated by patients with minimal complications.
    • Potential to replace repeated thoracentesis or large-bore chest tubes for effusion management.