Corpus ID: 45351365

Pediatric Chest Tubes And Pigtails: An Evidence-Based Approach To The Management Of Pleural Space Diseases.

@article{Strutt2015PediatricCT,
  title={Pediatric Chest Tubes And Pigtails: An Evidence-Based Approach To The Management Of Pleural Space Diseases.},
  author={John William Strutt and Anupam B. Kharbanda},
  journal={Pediatric emergency medicine practice},
  year={2015},
  volume={12 11},
  pages={
          1-24; quiz 20-1
        }
}
Pediatric thoracostomy procedures are used in the emergency department to treat diseases of the pleural space. As children have unique thoracic anatomy and physiology, they may present with management challenges that the emergency clinician must consider. This issue reviews the use of chest tubes and pigtail catheters in pediatric patients, techniques and indications for placement, and possible complications. Diagnostic and treatment options for diseases of the pleural space, such as… Expand
Chest Tube Management for Pleural Disease in Pediatrics
TLDR
The contribution of the pleura to healthy respiratory function, diseases of the Pleural system, and treatment of pleural disease, with specific attention to drainage by chest tube in the pleural space are discussed. Expand
Sound and Air: Ultrasonographic Measurements of Pediatric Chest Wall Thickness and Implications for Needle Decompression of Tension Pneumothorax.
TLDR
The standard 1.25-in (3.175 cm) catheters are sufficient to treat most tension pneumothoraces in pediatric patients and there were no significant differences in the measurements of CWT based on laterality nor anatomic site. Expand
Routine chest X-rays after pigtail chest tube removal rarely change management in children
TLDR
Post-pull chest X-rays are done nearly universally following pigtail chest tube removal but rarely change management, and providers should obtain post-pull imaging based on symptoms and underlying diagnosis, with higher suspicion for recurrence in children with chylothorax. Expand

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Complications can be further diminished by the routine use of large thoracostomy tubes that are placed well up on the chest after confirmation of an open pleural space, by avoiding the use of a trocar for tube placement, and by theUse of a high volume, low pressure suction system. Expand
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