176 Г‚В± 53 mL/min), but this difference was not statistically significant (p = 0.19). Blood drainage was more rapid from the chest tube during the first 3 minutes compared with the pigtail catheter (348 Г‚В± 109 mL/min vs. The swine were euthanized, and thoracotomies were performed to quantify the volume of blood remaining in each pleural space and to examine the position of each tube. Output from each drain was measured every minute for 5 minutes and then every 5 minutes for 40 minutes. Seven hundred fifty milliliters of the withdrawn blood was instilled into each pleural space, and fluid resuscitation with colloid was initiated. Over 15 minutes, 1,500 mL of arterial blood was withdrawn via femoral artery catheters. Each was connected to a chest drainage system at -20 cm H2O suction and clamped. A 32 Fr chest tube was placed in one randomly assigned hemithorax a 14 Fr pigtail catheter was placed in the other. Six Yorkshire cross-bred swine (44-54 kg) were anesthetized, instrumented, and mechanically ventilated. We compared pigtail catheters with chest tubes for the drainage of acute HTx in a swine model. Management of HTx with smaller (14 Fr) pigtail catheters has not been widely adopted because of concerns about tube occlusion and blood evacuation rates. Russo, Rachel M Zakaluzny, Scott A Neff, Lucas P Grayson, J Kevin Hight, Rachel A Galante, Joseph M Shatz, David VД®vacuation of traumatic hemothorax (HTx) is typically accomplished with large-bore (28-40 Fr) chest tubes, often resulting in patient discomfort. Published by Elsevier B.V.ДЄ pilot study of chest tube versus pigtail catheter drainage of acute hemothorax in swine. The effectiveness and complications of the pigtail catheter were comparable to those of the chest tubes.

There were no significant differences in either drainage days or hospitalization days between the chest tube group and pigtail catheter group (6.0 Г‚В± 2.6 vs. In the pigtail catheter group, drainage failure occurred in two patients, but no case was complicated with pneumothorax. In the chest tube group, drainage failure occurred in one patient and pneumothorax occurred in two patients. Twenty patients were treated with traditional chest tubes, whereas 12 patients were treated with pigtail catheters. A total of 32 patients (17 boys and 15 girls age range, 2-17 years mean age, 14 years) were enrolled into the study. Medical records, such as age, sex, clinical presentation, subsequent therapies, hospital stay, laboratory data, and complications, were collected and compared between these two methods of intervention. Patients who received thoracostomy with either chest tube or pigtail catheter were enrolled into this study. We retrospectively reviewed the medical records of children with parapneumonic effusion during the period of July 2001 through December 2003. In this study, we compared the effectiveness and complications between chest tube and pigtail catheter thoracostomy for drainage of parapneumonic pleural effusion in children. The use of thoracostomy tube for drainage of parapneumonic effusion is an important therapeutic measure. Lin, Chien-Heng Lin, Wei-Ching Chang, Jeng-Sheng

Comparison of pigtail catheter with chest tube for drainage of parapneumonic effusion in children.

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