An uncommon but sometimes fatal complication of pleural drainage: One historical case series reported mortality as high as 20% Usually presents on the side of the lung re-expansion (though contra-lateral and bilateral cases have been reported) Clinical features are...
Insertion Related Intercostal vessel laceration and haemothoraxLung parenchyma perforationPerforation of visceral organs (lung, heart, oesophagus, diaphragm, and intraabdominal organs)Interfissural - usually does not affect outcomeChest wall insertion - unstable chest...
There is considerable debate about the use of prophylactic antibiotics following chest drain insertion BTS guidance suggests: Prophylactic antibiotics should be given in the case of insertion for trauma There is no evidence for there use in other circumstances...
Strongly recommended for all pleural procedures for pleural fluid Particularly useful for defining the diaphragm and pleural thickening in: Loculated effusions Empyema The marking of a site by ultrasound for subsequent remote aspiration (by a radiologist) is strongly...
Sutures Two sutures should be used One stay suture to assist with later closure Sutures to secure the drain – usually suture across a linear incision Purse string sutures should not be used – leave unsightly scars and can be painful Sutures should be...
