Corpus ID: 45351365

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

  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},
  volume={12 11},
          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
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.
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
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


Complications of tube thoracostomy for acute trauma.
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
Abdominal placement of tube thoracostomy due to lack of recognition of paralysis of hemidiaphragm.
A patient with liver cirrhosis, ascites and large left-sided pleural effusion, in whom a trocar type chest tube was inserted at the seventh left intercostal space in the midaxillary line, is reported. Expand
Comparison of pigtail catheter with chest tube for drainage of parapneumonic effusion in children.
The effectiveness and complications of the pigtail catheter were comparable to those of the chest tubes, and no significant differences in either drainage days or hospitalization days were found. Expand
Pediatric Spontaneous Pneumothorax
A review of the evidence seeks to elaborate on current knowledge and clinical practice, as well as the applicability of adult recommendations to the pediatric population. Expand
New pigtail catheter for pleural drainage in pediatric patients.
A pigtail catheter is designed which may be inserted into the pleural space by a modified Seldinger technique and provides an alternative to standard tube thoracotomy. Expand
Percutaneous pigtail catheter versus tube thoracostomy for pediatric empyema: A comparison of outcomes.
Soft PCs are associated with higher failure rates but shorter total duration of illness in the treatment of Pediatrics, suggesting the ideal method for draining pediatric empyema may be a small-caliber, stiff chest tube placed percutaneously. Expand
Chest tube insertion: a simplified technique.
Lung perforation is more frequent with chest tube insertion using a trocar, and it has been recommended that this technique be avoided. Expand
The risk of percutaneous chest tube thoracostomy for blunt thoracic trauma
Percutaneous chest tube thoracostomy remains an important facet in the management of certain types of blunt thoracic trauma and Associated risks can best be minimized with adherence to a standardized technique and management protocol. Expand
Pleural drainage using modified pigtail catheters.
Percutaneous pigtail drainage of pleura fluid or air is simple, safe, effective, and substantially less traumatic than standard chest-tube placement. Expand
Efficacy and complications of percutaneous pigtail catheters for thoracostomy in pediatric patients.
Percutaneous pigtail catheters are highly effective in drainage of pleural serous and chylous effusions, somewhat less efficacious in Drainage of hemothsorax or pneumothorax, and least efficaciousIn drainage of empyema. Expand