Use of pigtail catheter and urosac: Numero uno for ambulatory chest drainage!

  title={Use of pigtail catheter and urosac: Numero uno for ambulatory chest drainage!},
  author={Unnati Desai and Jyotsna M. Joshi},
  journal={Lung India : Official Organ of Indian Chest Society},
  pages={395 - 400}
  • U. Desai, J. Joshi
  • Published 1 September 2018
  • Medicine
  • Lung India : Official Organ of Indian Chest Society
Background: Intercostal chest drainage is required for varied lung diseases with the pleural involvement. While the conventional method of intercostal drainage (ICD) insertion with the bulky underwater drain (UWD) was the gold standard for management, it had numerous disadvantages. It was time and again challenged with better ambulatory methods, although the documentation and continued use of the same are rare in practice. We studied the efficacy of ambulatory chest drainage (ACD) with pigtail… 

Figures and Tables from this paper

Ultrasound-guided thoracic erector spinae plane block for periprocedural analgesia in pigtail catheter insertion for palliative
1. November 2019 issue of ASRA News. Available from: https://www.asra. This is an open access journal, and articles are distributed under the terms of the Creative Commons
AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters
This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions by developing unbiased, scientifically valid guidance based on the best available evidence.
Atelectasis : Causes , Consequences , Comorbidities , Pathophysiology , Prevention , and Treatment
This research presents a novel approach to regenerative medicine based on a probabilistic approach called “informed consent” (“informed decision-making”).


Intercostal tube drainage of pleura: urosac as chest drainage bag.
  • J. Joshi
  • Medicine
    The Journal of the Association of Physicians of India
  • 1996
Urosac used as a chest drainage bag is safe and effective and can be used as an alternative to underwater seal drainage with several advantages.
Postoperative closed chest drainage without an underwater seal: a preliminary report.
This alternative chest drainage system using the Aldon's urobag was found to enhance early ambulation, increase the efficiency of patient nursing and reduced the cost of consumables.
Chest Tube Drainage of the Pleural Space: A Concise Review for Pulmonologists
  • J. M. Porcel
  • Medicine
    Tuberculosis and respiratory diseases
  • 2018
IPC represent a first-line palliative therapy of malignant pleural effusions in many centers, and the optimal frequency of drainage, for IPC, has not been formally agreed upon or otherwise officially established.
Outpatient chest tube management.
Xpand chest drain: assessing equivalence to current standard therapy--a randomised controlled trial.
It is proven that the Xpand chest drain is as effective as a standard underwater drain in treating the sequelae of penetrating chest trauma and therefore recommend it as an alternative to current standard therapy.
Ambulatory chest drainage.
  • J. Joshi
  • Medicine
    The Indian journal of chest diseases & allied sciences
  • 2009
Ambulatory chest drainage devices that use a mechanical one-way valve are an alternative to the traditional underwater drain and may be safe and effective for treatment of both pneumothorax and pleural effusion and even in out-patient care.
Effectiveness of Ambulatory Tru-Close Thoracic Vent for the Outpatient Management of Pneumothorax: A Prospective Pilot Study
TV application was a simple, safe, and technically feasible procedure in an outpatient clinic, with an acceptable long-term recurrence-free rate, and thus, TV could be useful for the immediate treatment of pneumothorax.
Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010
Small airways obstruction, mediated by an influx of inflammatory cells, often characterises pneumothorax and may become manifest in the smaller airways at an earlier stage with ‘emphysema-like changes’ (ELCs).