Skip to main content

Small-Bore Drains and Indwelling Catheters

  • Chapter
  • First Online:
Principles and Practice of Interventional Pulmonology
  • 3530 Accesses

Abstract

Insertion of chest tubes into the pleural space represents the traditional approach to draining the pleural space. Large-bore chest tubes are usually inserted without imaging guidance by a “blind” technique. On the other hand, SBCCs are usually inserted under imaging guidance using the Seldinger technique. With the recent advances in SBCCs and the imaging techniques, the indications for their placement had expanded widely. SBCC insertion is a safe and semi-invasive procedure with very few complications. However, proper knowledge and training is needed before attempting such procedures. In this chapter, we will discuss the indications, insertion techniques, and complications associated with image-guided insertion of SBCC using the Seldinger technique. The literature will also be reviewed to compare their use with the traditional large-bore chest tubes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. Laws D, Neville E, Duffy J. BTS guidelines for the insertion of a chest drain. Thorax. 2003;58(Suppl 2):ii53–9.

    PubMed  Google Scholar 

  2. Antunes G, Neville E, Duffy J, Ali N. BTS guidelines for the management of malignant pleural effusions. Thorax. 2003;58(Suppl 2):ii29–38.

    PubMed  Google Scholar 

  3. Henry M, Arnold T, Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax. 2003;58(Suppl 2):ii39–52.

    PubMed  Google Scholar 

  4. Cantin L, Chartrand-Lefebvre C, Lepanto L, et al. Chest tube drainage under radiological guidance for pleural effusion and pneumothorax in a tertiary care university teaching hospital: review of 51 cases. Can Respir J. 2005;12:29–33.

    PubMed  Google Scholar 

  5. Dev SP, Nascimiento Jr B, Simone C, Chien V. Videos in clinical medicine. Chest-tube insertion. N Engl J Med. 2007;357:e15.

    Article  PubMed  Google Scholar 

  6. Benton IJ, Benfield GF. Comparison of a large and small-calibre tube drain for managing spontaneous pneumothoraces. Respir Med. 2009;103:1436–40.

    Article  PubMed  Google Scholar 

  7. Horsley A, Jones L, White J, Henry M. Efficacy and complications of small-bore, wire-guided chest drains. Chest. 2006;130:1857–63.

    Article  PubMed  Google Scholar 

  8. Keeling AN, Leong S, Logan PM, Lee MJ. Empyema and effusion: outcome of image-guided small-bore catheter drainage. Cardiovasc Intervent Radiol. 2008;31:135–41.

    PubMed  CAS  Google Scholar 

  9. Heffner JE, Klein JS, Hampson C. Interventional management of pleural infections. Chest. 2009;136:1148–59.

    Article  PubMed  Google Scholar 

  10. Wrightson JM, Helm EJ, Rahman NM, Gleeson FV, Davies RJ. Pleural procedures and pleuroscopy. Respirology. 2009;14:796–807.

    Article  PubMed  Google Scholar 

  11. Fallon Jr WF, Wears RL. Prophylactic antibiotics for the prevention of infectious complications including empyema following tube thoracostomy for trauma: results of meta-analysis. J Trauma. 1992;33:110–6. discussion 6–7.

    Article  PubMed  Google Scholar 

  12. Feller-Kopman D, Berkowitz D, Boiselle P, Ernst A. Large-volume thoracentesis and the risk of reexpansion pulmonary edema. Ann Thorac Surg. 2007;84:1656–61.

    Article  PubMed  Google Scholar 

  13. Aleman C, Alegre J, Armadans L, et al. The value of chest roentgenography in the diagnosis of pneumothorax after thoracentesis. Am J Med. 1999;107:340–3.

    Article  PubMed  CAS  Google Scholar 

  14. Heidecker J, Huggins JT, Sahn SA, Doelken P. Pathophysiology of pneumothorax following ultrasound-guided thoracentesis. Chest. 2006;130:1173–84.

    Article  PubMed  Google Scholar 

  15. Feller-Kopman D. Ultrasound-guided thoracentesis. Chest. 2006;129:1709–14.

    Article  PubMed  Google Scholar 

  16. Feller-Kopman D, Walkey A, Berkowitz D, Ernst A. The relationship of pleural pressure to symptom development during therapeutic thoracentesis. Chest. 2006;129:1556–60.

    Article  PubMed  Google Scholar 

  17. Levinson GM, Pennington DW. Intrapleural fibrinolytics combined with image-guided chest tube drainage for pleural infection. Mayo Clin Proc. 2007;82:407–13.

    Article  PubMed  Google Scholar 

  18. Davies RJ, Traill ZC, Gleeson FV. Randomised controlled trial of intrapleural streptokinase in community acquired pleural infection. Thorax. 1997;52:416–21.

    Article  PubMed  CAS  Google Scholar 

  19. Cafarotti S, Dall’armi V, Cusumano G, et al. Small-bore wire-guided chest drains: safety, tolerability and effectiveness in pneumothorax, malignant effusions, and pleural empyema. J Thorac Cardiovasc Surg 2011;141:683–7.

    Google Scholar 

  20. Liu YH, Lin YC, Liang SJ, et al. Ultrasound-guided pigtail catheters for drainage of various pleural diseases. Am J Emerg Med. 2010;28:915–21.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Saleh Alazemi M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Alazemi, S. (2013). Small-Bore Drains and Indwelling Catheters. In: Ernst, A., Herth, F. (eds) Principles and Practice of Interventional Pulmonology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4292-9_58

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-4292-9_58

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4291-2

  • Online ISBN: 978-1-4614-4292-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics