A pilot study of chest tube versus pigtail catheter drainage of acute hemothorax in swine

The Journal of Trauma and Acute Care Surgery
Rachel M RussoDavid V Shatz

Abstract

Evacuation of traumatic hemothorax (HTx) is typically accomplished with large-bore (28-40 Fr) chest tubes, often resulting in patient discomfort. Management of HTx with smaller (14 Fr) pigtail catheters has not been widely adopted because of concerns about tube occlusion and blood evacuation rates. We compared pigtail catheters with chest tubes for the drainage of acute HTx in a swine model. Six Yorkshire cross-bred swine (44-54 kg) were anesthetized, instrumented, and mechanically ventilated. A 32 Fr chest tube was placed in one randomly assigned hemithorax; a 14 Fr pigtail catheter was placed in the other. Each was connected to a chest drainage system at -20 cm H2O suction and clamped. Over 15 minutes, 1,500 mL of arterial blood was withdrawn via femoral artery catheters. Seven hundred fifty milliliters of the withdrawn blood was instilled into each pleural space, and fluid resuscitation with colloid was initiated. The chest drains were then unclamped. Output from each drain was measured every minute for 5 minutes and then every 5 minutes for 40 minutes. 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. Blood dr...Continue Reading

References

Dec 1, 1994·AJR. American Journal of Roentgenology·J J CurtinG B Haasler
Mar 16, 2000·Journal of Accident & Emergency Medicine·R C Bailey
Oct 4, 2000·The Annals of Thoracic Surgery·J A ObneyD J Cohen
Jul 5, 2002·Surgical Endoscopy·H S Himal
Oct 31, 2002·The Journal of Thoracic and Cardiovascular Surgery·Enoch AkowuahGraham Cooper
May 23, 2006·Asian Cardiovascular & Thoracic Annals·Hiroshi NiinamiMitsuo Umezu
Apr 24, 2008·Langenbeck's Archives of Surgery·F Gebhard, M Huber-Lang
Feb 11, 2009·The Journal of Trauma·Louis RiveraJared L Antevil
Nov 11, 2011·The Journal of Trauma·Narong KulvatunyouPeter Rhee
Dec 30, 2011·Journal of Zhejiang University. Science. B·Jian-hua YiJian-an Wang
Feb 14, 2012·The Journal of Trauma and Acute Care Surgery·Kenji InabaPeter Rhee
Aug 30, 2012·The Journal of Trauma and Acute Care Surgery·Joseph DuBoseUNKNOWN AAST Retained Hemothorax Study Group

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Citations

Mar 5, 2016·The American Journal of Emergency Medicine·Eitaro OkumuraRyoko Oomura
Feb 10, 2018·World Journal of Surgery·Zachary M Bauman, Narong Kulvatunyou
Jun 27, 2021·Pediatric Surgery International·Christina M TheodorouAlana L Beres

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