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Pleural drainage using modified pigtail catheters.

B P Fuhrman, B G Landrum, T B Ferrara

    Critical Care Medicine
    |June 1, 1986
    PubMed
    Summary
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    A new pigtail catheter offers a safe and effective method for percutaneous drainage of pleural fluid and pneumothoraces in children. This minimally invasive technique is less traumatic than traditional chest tubes.

    Area of Science:

    • Pediatric Surgery
    • Thoracic Medicine
    • Medical Device Innovation

    Background:

    • Chronic pericardial effusions require effective drainage solutions.
    • Traditional chest tube placement for pleural effusions and pneumothoraces can be invasive and traumatic in pediatric patients.

    Purpose of the Study:

    • To evaluate the safety and efficacy of a novel 8.3-Fr modified pigtail catheter for chronic percutaneous drainage of pericardial effusions.
    • To assess the catheter's utility in managing pleural fluid collections and pneumothoraces in infants and children.

    Main Methods:

    • An 8.3-Fr modified pigtail catheter was utilized for chronic percutaneous drainage.
    • A modified Seldinger technique was employed for catheter placement.
    • The catheter was tested in 12 pediatric patients managing eight pleural fluid collections and nine pneumothoraces.

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    Main Results:

    • Catheter placement was atraumatic with no reported complications.
    • All pleural fluid collections were successfully drained.
    • Pneumothoraces were effectively treated with a single catheter, except in cases of bronchopleural fistula.

    Conclusions:

    • Percutaneous pigtail catheter drainage is a simple, safe, and effective alternative for pediatric pleural effusions and pneumothoraces.
    • This method offers a substantially less traumatic approach compared to standard chest tube placement.